Organization
GLASTONBURY PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES SCANLON DPM (OWNER)
(860) 456-4250
Entity
Organization
Contact information
Practice address
300 HEBRON AVE, SUITE 211, GLASTONBURY, CT 06033-2176
(860) 657-3668
(860) 657-1678
Mailing address
162 MANSFIELD AVE # A, WILLIMANTIC, CT 06226-2041
(860) 456-4250
(860) 456-3745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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