| NPI | 1780736728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY T GIORDANO Manager 203-323-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-12-30 |