AFFILIATED FOOT SURGEONS PC; NPI #1760690572

Contact Information

AFFILIATED FOOT SURGEONS PC

508 BLAKE ST
NEW HAVEN, CT 06515-1287

Phone: 203-397-0624
Fax: 203-397-0372
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Customized Equipment	332BC3200X	87	All Other Suppliers
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for AFFILIATED FOOT SURGEONS PC

NPI Number 1760690572

LBN Legal business name AFFILIATED FOOT SURGEONS PC

Authorized official PETER BLUME - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2007

Last updated 12/07/2011 - About 15 years ago

Identifiers

CT	License #	00581
CT	Medicaid	004128808

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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