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Organization
THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C.
Active
Organization
THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P. JOLLY DPM (OWNER)
(860) 229-2807
Entity
Organization
Contact information
Practice address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2637
(860) 229-2807
(860) 229-2812
Mailing address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2637
(860) 229-2807
(860) 229-2812
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000090
CT
Other
Enumeration date
05/20/2006
Last updated
01/13/2010
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