FOOT SPECIALISTS OF TRUMBULL LLC NPI 1992990196

NPI Information

FOOT SPECIALISTS OF TRUMBULL LLC is a podiatrist in Trumbull, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT SPECIALISTS OF TRUMBULL LLC NPI is 1992990196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4154 MADISON AVE
TRUMBULL, CT
ZIP 06611-563
Phone: (203) 374-1700
Fax: (203) 372-1975

The provider's authorized official is Robert Anthony Eterno .
The authorized official title is Owner and has the following contact phone number (203) 374-1700.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 2/6/2008.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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