Foot Group, Llc

NPI 1710914379 - Podiatrist - 213ES0103X

NPI Details
NPI 1710914379
Enumeration Date 06/27/2006
Last Updated 10/25/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position PRESIDENT
Phone (860) 456-4250
Fax (860) 456-3745
Practice Location
162 A MANSFIELD AVE
WILLIMANTIC CT, 06226, US
Phone (860) 456-4250
Fax (860) 456-3745
Business Location
162 A MANSFIELD AVE
WILLIMANTIC CT, 06226, US
Phone (860) 456-4250
Fax (860) 456-3745
Toxanomy
Taxonomy Code 213ES0103X
License State Connecticut
License Number 650
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According to our database, Foot Group, Llc NPI is 1710914379, taxonomy code is 213ES0103X and license number is 650, license state is located at Connecticut. Foot Group, Llc physically located at 162 A Mansfield Ave, Willimantic CT, 06226. NPI Number 1033115704 has the healthcare provider type.

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1710914379 NPI number is provided on an as is basis without warranty of any kind. 1710914379 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Group, Llc are for informational purposes only.