Organization Name: | PODIATRY GROUP OF NEW BRITAIN/SOUTHINGTON. P.C. |
NPI Number: | 1164596482 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEO M VELEAS (PRES) |
Mailing Address: | 221 N Main St Southington |
State: | CT US |
Postal Code: | 06489 |
Phone Number: | 8606216828 |
Fax Number: | 8606216820 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 000213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |