| NPI | 1912076886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN DADDIO Partner 203-933-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CT p00345) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-01-05 |