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Organization
COMPLETE FOOT CARE, LLC
Active
Organization
COMPLETE FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL BRADLEY ZOMBACK D.P.M. (MEMBER)
(203) 562-7688
Entity
Organization
Contact information
Practice address
60 TEMPLE ST, NEW HAVEN, CT 06513-2716
(203) 562-7688
(203) 624-3131
Mailing address
60 TEMPLE ST, NEW HAVEN, CT 06510-2716
(203) 562-7688
(203) 624-3131
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
466
CT
213ES0000X
Sports Medicine Podiatrist
466
CT
213ES0131X
Foot Surgery Podiatrist
762
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000466
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004090528
—
CT
01
—
004180650
MEDICAID GROUP
CT
05
—
004222999
—
CT
01
—
1730101635
NPI- NEAL ZOMBACK, DPM
CT
01
—
1992712236
NPI-DR SCOTT MELAMED
CT
01
—
480000982
MEDICARE ID- NEAL B ZOMBACK, DPM
CT
01
—
480000984
MEDICARE ID- SCOTT MELAMED, DPM
CT
Enumeration date
09/26/2006
Last updated
09/12/2008
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