# PODIATRYCARE, PC

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

## Provider details

- **NPI number:** 1972990117
- **Authorized official:** DR. ROBERT E MARRA DPM (PRESIDENT)
- **Authorized official phone:** (860) 741-3041

## Contact information

- **Practice address:** 1350 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2760
- **Practice address phone:** (860) 644-6525
- **Practice address fax:** (860) 741-5644
- **Mailing address:** 1379 ENFIELD ST, ENFIELD, CT 06082-5524
- **Mailing address phone:** (860) 741-3041
- **Mailing address fax:** (860) 741-5644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | CT | Yes |

## Other

- **Enumeration date:** 04/24/2015
- **Last updated:** 08/24/2023