| NPI | 1689841520 |
|---|---|
| Doing Business As | YALE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S TRAVISANO Owner 203-734-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000678) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000678) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2014-01-09 |