PODIATRY CENTER OF EASTERN CT, LLC; NPI #1144453895

Contact Information

PODIATRY CENTER OF EASTERN CT, LLC

360 TOLLAND TPKE STE 2C
MANCHESTER, CT 06042-1770

Phone: 860-647-7727
Fax: 860-647-7559
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for PODIATRY CENTER OF EASTERN CT, LLC

NPI # 1144453895

LBN Legal business name PODIATRY CENTER OF EASTERN CT, LLC

Authorized official DONNA BOCCELLI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/28/2009

Last updated 03/24/2020 - About 6 years ago

Identifiers

License #

000769

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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PODIATRY CENTER OF EASTERN CT, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for PODIATRY CENTER OF EASTERN CT, LLC

Reviews for PODIATRY CENTER OF EASTERN CT, LLC