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Newtown Sports Podiatry
Sports Medicine Podiatrist in Newtown, Connecticut
NPI 1942218763

Newtown Sports Podiatry is a Sports Medicine Podiatrist based in Newtown, CT and is specialized in Sports Medicine. Newtown Sports Podiatry practices in Newtown, CT. The NPI Number for Newtown Sports Podiatry is 1942218763 and holds a License No. 000556 (Connecticut).

The current practice location address for Newtown Sports Podiatry is 54 S Main St, Newtown, CT and can be reached out via phone at 203-426-7060 and via fax at 203-270-0420.

Location: 54 S Main St, Newtown, CT, 06470-2358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942218763
Provider Name
Newtown Sports Podiatry
Credential
Provider Entity Type
Organization
Address
54 S Main St, Newtown, CT, 06470-2358
Phone Number
203-426-7060
Fax Number
203-270-0420
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004112851 05 CT
institution
Provider Business Practice Location Address Details
Address
54 S Main St
City
Newtown
State
Connecticut
Zip
06470-2358
Phone Number
203-426-7060
Fax Number
203-270-0420
person
Provider Business Mailing Address Details
Address
54 S Main St
City
Newtown
State
Connecticut
Zip
06470-2358
Phone Number
203-426-7060
Fax Number
203-270-0420
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
000556 (Connecticut)
Definition
Definition to come...
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