Advanced Footcare Center

NPI #1376803429 in Clinton, Connecticut

Provider Information

NPI Number: 1376803429
Entity Type: Organization
Organization Name: Advanced Footcare Center
Primary Specialty: Podiatrist
Enumeration Date: May 23, 2012
Last Updated: May 29, 2012

Practice Location

Address: 23 W MAIN ST APT A
City: Clinton
State: Connecticut
ZIP Code: 06413-2062
Phone: (203) 799-3668

Authorized Official

Name: MS. AMY KELLY
Title: BILLING MANAGER
Phone: (203) 799-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

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