Individual
DR. BRUCE M BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
272 CHARLES CT, ORANGE, CT 06477-1629
(203) 494-5917
Mailing address
272 CHARLES CT, ORANGE, CT 06477-1629
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
P00364
CT
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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