# RECONSTRUCTIVE FOOT SURGEON LLC

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

## Provider details

- **NPI number:** 1669656534
- **Authorized official:** DR. NADIM M RAMADAN DPM (OWNER)
- **Authorized official phone:** (203) 701-0252

## Contact information

- **Practice address:** 234 BROAD ST, MILFORD, CT 06460-3278
- **Practice address phone:** (203) 701-0252
- **Practice address fax:** (203) 876-0937
- **Mailing address:** 234 BROAD ST, MILFORD, CT 06460-3278
- **Mailing address phone:** (203) 701-0252
- **Mailing address fax:** (203) 876-0937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 09/14/2022