Organization
THE CENTER FOR FOOT AND ANKLE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MICHAEL YARDAN DPM (PRESIDENT)
(203) 265-4814
Entity
Organization
Contact information
Practice address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 265-4814
(203) 949-4741
Mailing address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 265-4814
(203) 949-4741
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000893
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000893
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12395920
CAQH
CT
01
—
1972866275
INDIVIDUAL NPI
CT
Enumeration date
08/07/2015
Last updated
04/27/2017
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