Connecticut Podiatry Group, P.C.

LBN: Connecticut Podiatry Group, P.C.
Connecticut Podiatry Group, P.C. is an health care organization with primary practice located at 385 Main St , West Haven CT 06516-4312. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Connecticut Podiatry Group, P.C. can be contacted via phone (203) 933-8606, or through Daddio, Mark John via phone (203) 933-8606.

Contact Information

Primary practice address
385 Main St West Haven CT 06516-4312
Phone: (203) 933-8606
Fax: (203) 932-9571
Website:
Map and Directions
Authorized official contact:
Name: Daddio, Mark John Doctor of Podiatric Medicine (DPM)
Phone: (203) 933-8606

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X P00345 Connecticut

Profile Details

NPI number 1912076886
LBN Legal business name Connecticut Podiatry Group, P.C.
DBA Doing business as
Authorized official Daddio, Mark John Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 5th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912076886 NPPES
Connecticut MEDICAID 0040608280

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