RIVERSIDE PODIATRY,LLC; NPI #1609354372

Contact Information

RIVERSIDE PODIATRY,LLC

11 WESTRIDGE DR
AVON, CT 06001-3648

Phone: 860-436-1773
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for RIVERSIDE PODIATRY,LLC

NPI # 1609354372

LBN Legal business name RIVERSIDE PODIATRY,LLC

Authorized official JAPHETH MONGARE - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/03/2018

Last updated 08/03/2018 - About 8 years ago

Identifiers

License #

881

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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RIVERSIDE PODIATRY,LLC

Contact Information

Specialty

Primary Podiatric Medicine

NPI Profile & details for RIVERSIDE PODIATRY,LLC

Reviews for RIVERSIDE PODIATRY,LLC