CONNECTICUT PODIATRY GROUP NPI 1538530571

NPI Information

CONNECTICUT PODIATRY GROUP is a foot and ankle surgery podiatrist in North Haven, CT. CONNECTICUT PODIATRY GROUP NPI is 1538530571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 WASHINGTON AVE
NORTH HAVEN, CT
ZIP 06473-355
Phone: (203) 239-5900
Fax: (203) 239-9297

The provider's authorized official is Mark Daddio .
The authorized official title is Partner and has the following contact phone number (203) 933-8606.

The CLIA number assigned to this NPI record is 07D2073911 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2015 and was last updated on 10/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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