Yale Podiatry Group PC
Podiatrist in Ansonia, CT. Organization (NPI-2).
NPI number1184635237
StatusActive
Last updated in NPPESJan 24, 2008
Details
- NPI
- 1184635237
- Entity type
- Organization (NPI-2)
- Legal business name
- Yale Podiatry Group PC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Jan 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
364 E Main StYale Podiatry Group PC
Ansonia, CT 06401-1904
Phone 203-734-4806 · Fax 203-734-8265
Mailing address
364 E Main StYale Podiatry Group PC
Ansonia, CT 06401-1904
Phone 203-734-4806 · Fax 203-734-8265
Authorized official
Jeffrey F Yale
President
2037344806
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