| NPI | 1407146897 |
|---|---|
| Doing Business As | JENNIFER DECKER, DPM |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DECKER Owner 860-657-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000853) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |