| NPI | 1760690572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANDREW BLUME President 203-397-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CT 00581) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-12-07 |