person
Dr. Gordon E Fosdick, DPM
Foot Surgery Podiatrist in Middlefield, Connecticut
NPI 1740206192

Gordon E Fosdick is a Foot Surgery Podiatrist based in Waterford, CT and is specialized in Foot Surgery. Gordon E Fosdick practices in Middlefield, CT and has the professional credentials of DPM. The NPI Number for Gordon E Fosdick is 1740206192 and holds a License No. 00723 (Connecticut).

The current practice location address for Gordon E Fosdick is 470 Main St, Middlefield, CT and can be reached out via phone at 860-349-8500 and via fax at 860-349-3081.

Location: 470 Main St, Middlefield, CT, 06385-1234
person
Provider Profile Details
NPI Number
1740206192
Provider Name
Gordon E Fosdick
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
470 Main St, Middlefield, CT, 06385-1234
Phone Number
860-349-8500
Fax Number
860-349-3081
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000723 01 CT CONNECTICARE
030000723CT05 01 CT BLUE CROSS BLUE SHIELD
004206951 05 CT
institution
Provider Business Practice Location Address Details
Address
470 Main St
City
State
Zip
06455-1210
Phone Number
860-349-8500
Fax Number
860-349-3081
person
Provider Business Mailing Address Details
Address
470 Main St
City
State
Zip
06455-1210
Phone Number
860-349-8500
Fax Number
860-349-3081
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
00723 (Connecticut)
Definition
Definition to come...
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