Newtown Sports Podiatry
Podiatrist, Sports Medicine in Newtown, Connecticut
1942218763- Practice location
- 54 S Main St, Newtown, CT 06470-2358
- Phone
- 203-426-7060
- Fax
- 203-270-0420
- Last updated
- March 9, 2010
Newtown Sports Podiatry is a healthcare organization based in Newtown, CT. Newtown Sports Podiatry practices in Newtown, CT. The NPI Number for Newtown Sports Podiatry is 1942218763 and holds a License No. 000556 (CT). The current practice location address for Newtown Sports Podiatry is 54 S Main St, Newtown, CT 06470-2358 and can be reached out via phone at 203-426-7060 and via fax at 203-270-0420.
Provider Profile Details
- NPI Number
- 1942218763
- Provider Name
- Newtown Sports Podiatry
- Provider Entity Type
- Organization
- Address
- 54 S Main St, Newtown, CT 06470-2358
- Phone Number
- 203-426-7060
- Fax Number
- 203-270-0420
- Primary Taxonomy
- Podiatrist, Sports Medicine · 213ES0000X
- Organization Subpart
- No
- Authorized Official
- Brian W Fullem, DPM · Owner · 203-426-7060
- Provider Enumeration Date
- August 4, 2006
- Last Update Date
- March 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 S Main St
Newtown, CT 06470-2358 - City
- Newtown
- State
- Connecticut
- Zip
- 06470-2358
- Phone Number
- 203-426-7060
- Fax Number
- 203-270-0420
Provider Business Mailing Address Details
- Address
- 54 S Main St
Newtown, CT 06470-2358 - City
- Newtown
- State
- CT
- Zip
- 06470-2358
- Phone Number
- 203-426-7060
- Fax Number
- 203-270-0420
License Information
- License Number
- 000556
- License State
- CT
- Taxonomy
- Podiatrist, Sports Medicine · 213ES0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Newtown Sports Podiatry?
The NPI number of Newtown Sports Podiatry is 1942218763. It was assigned on August 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Newtown Sports Podiatry?
Newtown Sports Podiatry is registered under the primary taxonomy Podiatrist, Sports Medicine (code 213ES0000X), licensed in CT under license number 000556.
Where does Newtown Sports Podiatry practice?
The practice location is 54 S Main St, Newtown, CT 06470-2358. The office can be reached at 203-426-7060 (phone) or 203-270-0420 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942218763 directly on the NPPES registry website.