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B .glenn Blair Dpm P.c.
Durable Medical Equipment & Medical Supplies in Shelton, Connecticut
NPI 1306020938

B .glenn Blair Dpm P.c. is a Durable Medical Equipment & Medical Supplies based in Shelton, CT. B .glenn Blair Dpm P.c. practices in Shelton, CT. The NPI Number for B .glenn Blair Dpm P.c. is 1306020938 and holds a License No. 000419 (Connecticut).

The current practice location address for B .glenn Blair Dpm P.c. is 375 Bridgeport Ave, Shelton, CT and can be reached out via phone at 203-929-5559 and via fax at 203-929-5277.

Location: 375 Bridgeport Ave, Shelton, CT, 06484-3844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306020938
Provider Name
B .glenn Blair Dpm P.c.
Credential
Provider Entity Type
Organization
Address
375 Bridgeport Ave, Shelton, CT, 06484-3844
Phone Number
203-929-5559
Fax Number
203-929-5277
Provider Enumeration Date
12/18/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
004176815 05 CT
institution
Provider Business Practice Location Address Details
Address
375 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484-3844
Phone Number
203-929-5559
Fax Number
203-929-5277
person
Provider Business Mailing Address Details
Address
375 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484-3844
Phone Number
203-929-5559
Fax Number
203-929-5277
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
CT000419 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
000419 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
000419 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
000419 (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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NPI 1356350201
Durable Medical Equipment & Medical Supplies
375 Bridgeport Ave,
SHELTON, CT
06484
203-929-5559
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