# PODIATRY CENTER OF EASTERN CT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144453895
- **Authorized official:** DONNA BOCCELLI D.P.M. (OWNER)
- **Authorized official phone:** (860) 836-2997

## Contact information

- **Practice address:** 360 TOLLAND TPKE STE 2C, MANCHESTER, CT 06042-1770
- **Practice address phone:** (860) 647-7727
- **Practice address fax:** (860) 647-7559
- **Mailing address:** 360 TOLLAND TPKE STE 2C, MANCHESTER, CT 06042-1770
- **Mailing address phone:** (860) 647-7727
- **Mailing address fax:** (860) 647-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 000769 | CT | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 03/24/2020