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Podiatric Medicine & Surgery Service Providers Podiatrist

Provider NPI: 1043492903

Organization Information:
Organization is not Subpart
Authorized Official:  JEFFREY STEVEN KAHN  MANAGING PARTNER  860-563-1200

Practice Location:
Tel: 860-582-0747  Fax: 860-585-8124

Business Mailing Address:
PO BOX 37  ROCKY HILL, CT 06067-0037 US
Tel: 860-563-1200  Fax: 860-563-2655

NPI Information:
NPI: 1043492903
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y213E00000XPodiatric Medicine & Surgery Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 213E00000X





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