| NPI | 1124066576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEVELYN MICHELLE MORSE Owner 203-466-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000802) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-04-20 |