| 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 |