| NPI | 1639462401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA RAMONA GUIDONE Podiatrist 203-640-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CT 000694) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2015-12-01 |