| NPI | 1356521058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MUCINSKAS Member 860-632-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000768) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2020-10-23 |