| Doctor Name: | JAMES M DEJESUS |
| NPI Number: | 1083727556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 000454 |
| Business Practice Address: | 1183 New Haven Rd Naugatuck, CT - 067705033 |
| Business Phone Number: | 2037237884 |
| Business Fax Number: | 2037232946 |
| Mailing Address: | 1183 New Haven Rd, NAUGATUCK |
| State: | CT |
| Postal Code: | 067705033 |
| Phone Number: | 2037237884 |
| Fax Number: | 2037232946 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 000454 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |