NPI | 1811349467 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D RUTSTEIN Doctor 860-523-8026 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT P00167) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT P00167) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2021-01-05 |