| Connecticut Foot Specialists Pc | |
|
259 Albany Turnpike, Suite C, Canton, CT 06019 | |
| (860) 653-4708 | |
| (860) 653-6249 |
| Full Name | Connecticut Foot Specialists Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 259 Albany Turnpike, Canton, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881858959 | NPI | - | NPPES |
| 1093743502 | Other | NPI # DR. WAGNER | |
| CT000793 | Other | CT | STATE LICENSE DR. WAGNER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Foot Specialists Pc 133 Hartford Avenue, East Granby, CT 06026 Ph: (860) 653-4708 | Connecticut Foot Specialists Pc 259 Albany Turnpike, Suite C, Canton, CT 06019 Ph: (860) 653-4708 |
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