NPI | 1407030489 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIENNE DUDZIS Podiatrist 203-735-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000583) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |