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Individual

JOSEPHINE VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
20 OLD KINGS HWY S, DARIEN, CT 06820-4521
(203) 655-6299
(203) 656-2607
Mailing address
20 OLD KINGS HWY S, DARIEN, CT 06820-4521
(203) 655-6299
(203) 656-2607

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
000670
CT
213ES0000X
Sports Medicine Podiatrist
N004823
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RS178
OXFORD INSURANCE ID #
CT
Enumeration date
08/02/2006
Last updated
07/08/2007
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