Organization
AFFILIATED FOOT CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON FOSDICK DPM (OWNER)
(203) 294-4977
Entity
Organization
Contact information
Practice address
15 S ELM ST, WALLINGFORD, CT 06492-4741
(203) 294-4977
(203) 294-0045
Mailing address
196 PARKWAY S, STE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 444-9460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000723
CT
Other
Enumeration date
03/27/2008
Last updated
01/12/2009
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