| Organization Name: | THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C. |
| NPI Number: | 1497709885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY P. JOLLY (OWNER) |
| Mailing Address: | 1 Liberty Sq New Britain |
| State: | CT US |
| Postal Code: | 060512637 |
| Phone Number: | 8602292807 |
| Fax Number: | 8602292812 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |