| NPI | 1497923734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E STEVEN DAMON Owner 860-745-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 000035) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2010-10-29 |