Central Connecticut Footcare Center, LLC
NPI #1679655443 in Meriden, Connecticut
Provider Information
- NPI Number
- 1679655443
- Entity Type
- Organization
- Organization Name
- Central Connecticut Footcare Center, LLC
- Primary Specialty
- Podiatrist - Foot Surgery
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Aug 23, 2010
Practice Location
- Address
- 807 BROAD ST.
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06450-3802
- Phone
- (203) 238-3668
Authorized Official
- Name
- DR. TINA ANNE BOUCHER, DPM
- Title
- OWNER
- Phone
- (203) 238-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot Surgery — Foot Surgery |
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