Individual
RUI G DEMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1234 SUMMER ST STE 202, STAMFORD, CT 06905-5510
(203) 323-1171
(203) 323-4649
Mailing address
1234 SUMMER ST STE 202, STAMFORD, CT 06905-5510
(203) 323-1171
(203) 323-4649
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000783
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
000783
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000783CT01
BLUE CROSS
CT
01
—
2V4758
HEALTHNET
CT
01
—
95809
AETNA
CT
01
—
P3064982
OXFORD
CT
Enumeration date
10/07/2005
Last updated
12/07/2020
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