| NPI | 1689859050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R PAYETTE Podiatry 860-774-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000663) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2015-01-23 |