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 |