# HOUSATONIC VALLEY PODIATRIC CENTER LLC

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

## Provider details

- **NPI number:** 1528493244
- **Authorized official:** MANAL ANZ DPM (OWNER)
- **Authorized official phone:** (203) 450-0144

## Contact information

- **Practice address:** 333 RIVER ROAD, SHELTON, CT 06484-5120
- **Practice address phone:** (203) 450-0144
- **Mailing address:** 333 RIVER ROAD, SHELTON, CT 06484-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 000882 | CT | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013