Individual provider · NPI-1
Jamie Anthony Otfinoski, DPM
Podiatrist · Bethel, CT
NPI number1083000269
StatusActive
Last updated in NPPESMay 9, 2018
Details
- NPI
- 1083000269
- Entity type
- Individual (NPI-1)
- Name
- Jamie Anthony Otfinoski
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2015
- Last updated
- May 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 979 | CT | Yes |
| 213ES0131X | 979 | CT | ||
| 213ER0200X | Podiatrist, Radiology | 979 | CT | |
| 225000000X | Orthotic Fitter | 979 | CT |
Practice location
8 School StBethel, CT 06801-1877
Phone 203-743-7083
Mailing address
8 School StBethel, CT 06801-1877
Phone 203-743-7083
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