Individual
JAMIE ANTHONY OTFINOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8 SCHOOL ST, BETHEL, CT 06801-1877
(203) 743-7083
Mailing address
8 SCHOOL ST, BETHEL, CT 06801-1877
(203) 743-7083
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
979
CT
213ER0200X
Radiology Podiatrist
979
CT
213ES0131X
Foot Surgery Podiatrist
979
CT
225000000X
Orthotic Fitter
979
CT
Other
Enumeration date
04/14/2015
Last updated
05/09/2018
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