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Contact Information

PODIATRY GROUP OF NEW HAVEN, PC
200 ORCHARD STREET
SUITE 102
NEW HAVEN, CT06511
 Phone: 203-624-1516
 Fax: 203-624-8320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PODIATRY GROUP OF NEW HAVEN PC · (Female)

NPI # 1558438069
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2006
Last updated 06/10/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 000760
  • CT Medicaid 4062451
  • CT Other CA0256 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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