Organization
BRUCE & MARILYN VINOKUR FOOT CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN M. VINOKUR D.P.M. (PODIATRIST)
(203) 755-2050
Entity
Organization
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-2050
(203) 755-0131
Mailing address
1211 WEST MAIN STREET, WATERBURY, CT 06708-2762
(203) 755-2050
(203) 755-0131
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00214
CT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068821
—
CT
Enumeration date
08/10/2007
Last updated
09/06/2012
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