Organization Name: | FAMILY FOOTCARE, PC |
NPI Number: | 1093894263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M DEJESUS (PRESIDENT) |
Mailing Address: | 52 Federal Rd Unit 1a Danbury |
State: | CT US |
Postal Code: | 068106162 |
Phone Number: | 2037923668 |
Fax Number: | 2037967478 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 000454 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |