| NPI | 1619136579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J BIANCHINI Physician 203-791-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CT 000580) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000580) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |