| Organization Name: | PODIATRIC MEDICAL AND COSMETIC CONSULTANTS OF CT,LLC |
| NPI Number: | 1013198639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN A MURPHY (OWNER) |
| Mailing Address: | 90 Grove St Suite 211 Ridgefield |
| State: | CT US |
| Postal Code: | 068774114 |
| Phone Number: | 2038948774 |
| Fax Number: | 2038948359 |
| NPI Enumeration Date: | 11/26/2007 |
| NPI Last Update Date: | 11/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |