Organization
PRIMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT RASTOGI M.D. (PRESIDENT)
(203) 374-6162
Entity
Organization
Contact information
Practice address
4699 MAIN ST, SUITE 211, BRIDGEPORT, CT 06606-1830
(203) 374-3464
(203) 374-1020
Mailing address
4699 MAIN ST, SUITE 211, BRIDGEPORT, CT 06606-1830
(203) 374-3464
(203) 374-1020
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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