| NPI | 1861670770 |
|---|---|
| Doing Business As | ADVANCED FOOTCARE SPECIALISTS OF CONNECTICUT L.L.C. |
| Entity Type | Organization |
| Authorized Contact | RICHARD W. DUROCHER Owner Of Practice 203-239-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CT 00709) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 00709) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2015-02-20 |