Primed, LLC

NPI #1730423468 in Trumbull, Connecticut

Provider Information

NPI Number: 1730423468
Entity Type: Organization
Organization Name: Primed, LLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 19, 2012
Last Updated: Mar 27, 2013

Practice Location

Address: 4154 MADISON AVE
City: Trumbull
State: Connecticut
ZIP Code: 06611-3563
Phone: (203) 374-1700

Authorized Official

Name: AMIT RASTOGI, M.D.
Title: PRESIDENT
Phone: (203) 374-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist	213E00000X	Primary

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