| NPI | 1376931311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GLECKLER CFO 203-576-5412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-01-06 |