# DPMDECKERPRCT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jennifer Decker, DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407146897
- **Authorized official:** JENNIFER DECKER DPM (OWNER)
- **Authorized official phone:** (860) 657-3668

## Contact information

- **Practice address:** 300 HEBRON AVE, SUITE 211, GLASTONBURY, CT 06033-2176
- **Practice address phone:** (860) 657-3668
- **Practice address fax:** (860) 657-1678
- **Mailing address:** 196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
- **Mailing address phone:** (860) 442-7027
- **Mailing address fax:** (860) 437-2236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 000853 | CT | Yes |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 04/19/2011