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Organization
MICHAEL SCANLON
Active
Organization
MICHAEL SCANLON
Active
Parent organization
MICHAEL SCANLON
Other names
Glastonbury Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL SCANLON
Authorized official
DR. MICHAEL JAMES SCANLON DPM (PHYSICIAN/OWNER)
(860) 657-3668
Entity
Organization
Contact information
Practice address
162 MANSFIELD AVE # A, WILLIMANTIC, CT 06226-2041
(860) 456-4250
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(486) 044-2702
(860) 444-0074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/05/2007
Last updated
11/15/2007
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