Organization · NPI-2

Connecticut Foot Specialists, P.C.

Podiatrist · Farmington, CT

NPI number1487684346
StatusActive
Last updated in NPPESApr 21, 2026

Details

NPI
1487684346
Entity type
Organization (NPI-2)
Legal business name
Connecticut Foot Specialists, P.C.
Organization subpart
No
Enumeration date
Jul 4, 2006
Certification date
Apr 21, 2026
Last updated
Apr 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist000144CTYes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

11 South Rd Lowr Level20
Farmington, CT 06032-2483

Phone 860-470-5703 · Fax 860-909-0506

Mailing address

11 South Rd
Lower Level 20
Farmington, CT 06032-2483

Phone 860-470-5703 · Fax 860-606-6838

Authorized official

Brian Keith Wagner
Owner
8604705703

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