CENTRAL CONNECTICUT FOOTCARE CENTER, LLC


Address: 807 Broad St., Meriden, CT 06450-3802
Phone: 2032383668

CENTRAL CONNECTICUT FOOTCARE CENTER, LLC (NPI# 1679655443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679655443
Entity Type Organization
Organization Name CENTRAL CONNECTICUT FOOTCARE CENTER, LLC
Practice Address 807 Broad St.
Meriden
CT 06450-3802
Mailing Address 807 Broad St
Meriden
CT 06450-4301
Practice Telephone 2032383668
Practice Fax Number 2032383670
Mailing Telephone 2032383668
Mailing Fax Number 2032383670
Enumeration Date 2006-10-20
Last Update Date 2010-08-23
Authorized Official Name DR. TINA ANNE BOUCHER (OWNER)
Authorized Official Telephone 2032383668
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
000805 CT Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 807 BROAD ST.
City MERIDEN
State CT
Zip Code 06450-3802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861056525 Oak Counseling Services LLC Counselor Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 2019-04-29
1467969253 Midstate Arc Day Training, Developmentally Disabled Services 200 Research Pkwy, Meriden, CT 06450 2018-01-03
1144674672 Felistas Mazhandu Nurse Practitioner 53 Church Hill Chase, Meriden, CT 06450 2016-04-21
1639557390 D J Park PC Dentist 490-19 South Broad Street, Meriden, CT 06450 2015-05-14
1912393844 Elliott Lacki Psychologist 1355 N Broad St, Meriden, CT 06450 2015-04-07
1124379797 Jamie Anne Gargano Social Worker 538 Preston Avenue, Meriden, CT 06450 2012-09-24
1760738025 Psychologist Adriana L Gonzalez Phd Pllc Clinic/Center 85 Hillcrest Terrace, Meriden, CT 06450 2012-07-24
1174888622 Dong Jin Park Dentist 490 S Broad St, Meriden, CT 06450 2012-07-11
1710253182 Adriana Laura Gonzalez Psychologist 85 Hillcrest Ter, Meriden, CT 06450 2012-03-29
1285864199 Crystal Ann Herdman Occupational Therapist 33 Cone Avenue, Meriden, CT 06450 2009-07-27
Find all providers in zip 06450

Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245386374 David Michael Roccapriore Podiatrist 35 Pleasant St, Suite 2a, Meriden, CT 06450-5786 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306199351 Starling Physicians PC Podiatrist 160 Hazard Ave, Enfield, CT 06082-3889 2012-10-15
1073887923 Bruce M Backer Podiatrist 272 Charles Ct, Orange, CT 06477-1629 2012-02-23
1275617102 Podiatric Medicine and Surgery of Fairfield County Podiatrist 49 Londonderry Dr, Greenwich, CT 06830-3508 2006-10-25
1689782401 Chris Paul Kassaris Podiatrist 1881 Post Rd, Fairfield, CT 06824-5721 2006-08-29
1184632028 Peter T Labarbera Podiatrist 389 Highland Ave, Waterbury, CT 06708 2006-08-04
1487684288 Harvey D. Lederman Podiatrist 2531 Albany Ave, West Hartford, CT 06117-2308 2006-07-04
1588694764 Luca Di Matteo Podiatrist 538 Hopmeadow St, Simsbury, CT 06070-2415 2006-07-04
1669421665 Anthony Babigian Podiatrist 520 West Ave, Norwalk, CT 06850-4034 2006-05-08
1568427607 Benedict Charles Valentine II Podiatrist 8 Independence Dr, Marlborough, CT 06447-1408 2006-04-20
1902870744 Martin A Gavin Podiatrist 17 Brookdale Ave, Milford, CT 06460-5934 2006-02-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City MERIDEN
Zip Code 06450

Improve Information

Please comment or provide details below to improve the information on CENTRAL CONNECTICUT FOOTCARE CENTER, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches