| Organization Name: | FEET FIRST FOOT CARE SPECIALISTS, LLC |
| NPI Number: | 1356521058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADAM MUCINSKAS (MEMBER) |
| Mailing Address: | 154 West St Suite A Cromwell |
| State: | CT US |
| Postal Code: | 064162425 |
| Phone Number: | 8606325499 |
| Fax Number: | 8606325515 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 12/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000768 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |