| NPI | 1639680879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R TREADWELL President 860-747-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000714) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000753) |
| 213E00000X Podiatrist (Licence: CT 000955) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-03-08 |