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Organization

STAMFORD FOOT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY D REILLY DPM (SELF)
(203) 358-9358
Entity
Organization

Contact information

Practice address
1023 HOPE ST STE 4, STAMFORD, CT 06907-2122
(203) 358-9358
(203) 358-9348
Mailing address
1023 HOPE ST STE 4, STAMFORD, CT 06907-2122
(203) 358-9358
(203) 358-9348

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000593
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZS987
OXFORD
CT
Enumeration date
02/21/2008
Last updated
03/03/2020
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