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Organization
HARTFORD PODIATRY GROUP LLC
Active
Organization
HARTFORD PODIATRY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID RUTSTEIN DPM (PARTNER)
(860) 523-8026
Entity
Organization
Contact information
Practice address
999 ASYLUM AVE FL 1, HARTFORD, CT 06105-2475
(860) 523-8026
(860) 523-7622
Mailing address
999 ASYLUM AVE FIRST FLR, SUITE 111, HARTFORD, CT 06105-2416
(860) 523-8026
(860) 523-7622
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004162476
—
CT
01
—
1086961414
CIGNA
CT
Enumeration date
12/28/2005
Last updated
11/21/2024
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