institution
Countryside Pedorthics & Cobbler Shop
Durable Medical Equipment & Medical Supplies in Canterbury, Connecticut
NPI 1265611891

Countryside Pedorthics & Cobbler Shop is a Durable Medical Equipment & Medical Supplies based in Canterbury, CT. Countryside Pedorthics & Cobbler Shop practices in Canterbury, CT. The NPI Number for Countryside Pedorthics & Cobbler Shop is 1265611891 and holds a License No. 1510 (Connecticut).

The current practice location address for Countryside Pedorthics & Cobbler Shop is 95 Bingham Rd, Canterbury, CT and can be reached out via phone at 860-546-1099 and via fax at 860-546-1095.

Location: 95 Bingham Rd, Canterbury, CT, 06331
institution
Provider Profile Details
NPI Number
1265611891
Provider Name
Countryside Pedorthics & Cobbler Shop
Credential
Provider Entity Type
Organization
Address
95 Bingham Rd, Canterbury, CT, 06331
Phone Number
860-546-1099
Fax Number
860-546-1095
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004069993 05 CT
institution
Provider Business Practice Location Address Details
Address
95 Bingham Rd
City
State
Zip
06331-1302
Phone Number
860-546-1099
Fax Number
860-546-1095
person
Provider Business Mailing Address Details
Address
95 Bingham Rd
City
State
Zip
06331-1302
Phone Number
860-546-1099
Fax Number
860-546-1095
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
1510 (Connecticut)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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