| NPI | 1497937163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN MAYS Office Manager 203-754-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CT P00105) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-01-08 |