Karla Rene Scanlon DPM

NPI 1063412971 - Podiatrist - 213E00000X

NPI Details
NPI 1063412971
Gender Female
Enumeration Date 07/21/2005
Last Updated 10/07/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
300 HEBRON AVE
SUITE 211
GLASTONBURY CT, 06033-2176, US
Phone (860) 657-3668
Fax (860) 657-1678
Business Location
196 PARKWAY S
SUITE 304
WATERFORD CT, 06385-1234, US
Phone (860) 442-7027
Fax (860) 444-0074
Toxanomy
Taxonomy Code 213E00000X
License State Connecticut
License Number 000656
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According to our database, Dr. Karla Rene Scanlon DPM NPI is 1063412971, taxonomy code is 213E00000X and license number is 000656, license state is located at Connecticut. Karla Rene Scanlon DPM physically located at 300 Hebron Ave, Glastonbury CT, 06033-2176. NPI Number Karla Rene Scanlon DPM has the Individual type.

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1063412971 NPI number is provided on an as is basis without warranty of any kind. 1063412971 is maintained by the National Plan & Provider Enumeration System. The contents of Karla Rene Scanlon DPM are for informational purposes only.