| NPI | 1275929291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K PARAGAS Owner 203-288-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000760) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: CT 000760) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-07-07 |