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Organization
RAFAEL GONZALEZ DPM LLC
Active
Organization
RAFAEL GONZALEZ DPM LLC
Active
Other names
Greater Hartford Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL GONZALEZ DPM (OWNER)
(860) 263-7999
Entity
Organization
Contact information
Practice address
580 COTTAGE GROVE RD STE 203, BLOOMFIELD, CT 06002-3088
(860) 263-7999
(860) 216-0664
Mailing address
580 COTTAGE GROVE RD, STE 203, BLOOMFIELD, CT 06002-3088
(860) 263-7999
(860) 216-0664
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000808
CT
213ES0131X
Foot Surgery Podiatrist
000808
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000808
CT
Other
Enumeration date
05/01/2009
Last updated
11/06/2015
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