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Dpmdeckerprct Llc
Foot & Ankle Surgery Podiatrist in Glastonbury, Connecticut
NPI 1407146897

Dpmdeckerprct Llc is a Foot & Ankle Surgery Podiatrist based in Waterford, CT and is specialized in Foot & Ankle Surgery. Dpmdeckerprct Llc practices in Glastonbury, CT. The NPI Number for Dpmdeckerprct Llc is 1407146897 and holds a License No. 000853 (Connecticut).

The current practice location address for Dpmdeckerprct Llc is 300 Hebron Ave, Glastonbury, CT and can be reached out via phone at 860-657-3668 and via fax at 860-657-1678.

Location: 300 Hebron Ave, Glastonbury, CT, 06385-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407146897
Provider Name
Dpmdeckerprct Llc
Credential
Provider Entity Type
Organization
Address
300 Hebron Ave, Glastonbury, CT, 06385-1234
Phone Number
860-657-3668
Fax Number
860-657-1678
Provider Enumeration Date
04/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Hebron Ave
City
Glastonbury
State
Connecticut
Zip
06033-2176
Phone Number
860-657-3668
Fax Number
860-657-1678
person
Provider Business Mailing Address Details
Address
300 Hebron Ave
City
Glastonbury
State
Connecticut
Zip
06033-2176
Phone Number
860-657-3668
Fax Number
860-657-1678
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
000853 (Connecticut)
Definition
Definition to come...
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