| NPI | 1144453895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BOCCELLI Owner 860-836-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000769) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2020-03-24 |