Organization
PODIATRY GROUP OF NEW BRITAIN/SOUTHINGTON. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO M VELEAS DPM (PRES)
(860) 621-6828
Entity
Organization
Contact information
Practice address
221 N MAIN ST, SOUTHINGTON, CT 06489
(860) 621-6828
(860) 621-6820
Mailing address
221 NORTH MAIN ST, SOUTHINGTON, CT 06489
(860) 621-6828
(860) 621-6820
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000213
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159439001
CIGNA
CT
01
—
500000213CT01
ANTHEM BC/BS
CT
Enumeration date
11/20/2006
Last updated
04/08/2008
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