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Contact Information

CONNECTICUT FOOT SPECIALISTS PC
259 ALBANY TURNPIKE
SUITE C
CANTON, CT06019
 Phone: 860-653-4708
 Fax: 860-653-6249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CONNECTICUT FOOT SPECIALISTS PC

NPI Number 1881858959
LBN Legal business name CONNECTICUT FOOT SPECIALISTS PC
Authorized official BRIAN WAGNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2008
Last updated 03/07/2023 - About 3 years ago
Identifiers
Other 1093743502 NPI # DR. WAGNER
CT Other CT000793 STATE LICENSE DR. WAGNER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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