Countryside Pedorthics & Cobbler Shop
NPI #1265611891 in Canterbury, Connecticut
Provider Information
- NPI Number
- 1265611891
- Entity Type
- Organization
- Organization Name
- Countryside Pedorthics & Cobbler Shop
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 31, 2007
- Last Updated
- Apr 22, 2021
Practice Location
- Address
- 95 BINGHAM RD
- City
- Canterbury
- State
- Connecticut
- ZIP Code
- 06331-1302
- Phone
- (860) 546-1099
Authorized Official
- Name
- MR. RONALD G. AUGER, CPED
- Title
- OWNER/CERTIFIED PEDORTHIST
- Phone
- (860) 546-1099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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