Foot And Ankle Specialists Of The Mid-Atlantic LLC
Durable Medical Equipment & Medical Supplies in Waterbury, CT. Organization (NPI-2).
NPI number1760660641
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1760660641
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot And Ankle Specialists Of The Mid-Atlantic LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2008
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 548 | CT | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 548 | CT |
Other names
- Chase Parkway Podiatry (Other Name)
Practice location
714 Chase PkwySuite 4
Waterbury, CT 06708-3012
Phone 203-755-0489 · Fax 203-755-7523
Mailing address
714 Chase PkwySuite 4
Waterbury, CT 06708-3012
Phone 203-755-0489 · Fax 203-755-7523
Authorized official
Michael Tritto
Dpm/Owner
3019337133
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