Newtown Sports Podiatry
NPI #1942218763 in Newtown, Connecticut
Provider Information
- NPI Number
- 1942218763
- Entity Type
- Organization
- Organization Name
- Newtown Sports Podiatry
- Primary Specialty
- Podiatrist - Sports Medicine
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 54 S MAIN ST
- City
- Newtown
- State
- Connecticut
- ZIP Code
- 06470-2358
- Phone
- (203) 426-7060
Authorized Official
- Name
- BRIAN W FULLEM, DPM
- Title
- OWNER
- Phone
- (203) 426-7060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Sports Medicine — Sports Medicine |
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