Organization
PODIATRY CENTER OF EASTERN CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BOCCELLI D.P.M. (OWNER)
(860) 836-2997
Entity
Organization
Contact information
Practice address
360 TOLLAND TPKE STE 2C, MANCHESTER, CT 06042-1770
(860) 647-7727
(860) 647-7559
Mailing address
360 TOLLAND TPKE STE 2C, MANCHESTER, CT 06042-1770
(860) 647-7727
(860) 647-7559
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000769
CT
Other
Enumeration date
08/28/2009
Last updated
03/24/2020
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