Doctor Name: | CHARLES T ARENA |
NPI Number: | 1023009768 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | P00007 |
Business Practice Address: | 1389 West Main Street Suite 222 Waterbury, CT - 06708 |
Business Phone Number: | 2037579200 |
Business Fax Number: | |
Mailing Address: | 1389 West Main Street, Suite 222 WATERBURY |
State: | CT |
Postal Code: | 06708 |
Phone Number: | 2037579200 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | P00007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |