Organization Name: | WILTON FOOTCARE ASSOCIATES, LLC |
NPI Number: | 1174852552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CONNOR (OWNER) |
Mailing Address: | 27 Danbury Rd Wilton |
State: | CT US |
Postal Code: | 068974405 |
Phone Number: | 2037611230 |
Fax Number: | 2037616767 |
NPI Enumeration Date: | 12/15/2009 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 000474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |