Organization
B .GLENN BLAIR DPM P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE M RUSSELL (OFFICE MANAGER)
(203) 929-5559
Entity
Organization
Contact information
Practice address
375 BRIDGEPORT AVE, SHELTON, CT 06484-3844
(203) 929-5559
(203) 929-5277
Mailing address
375 BRIDGEPORT AVE, SHELTON, CT 06484-3844
(203) 929-5559
(203) 929-5277
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000419
CT
213ER0200X
Radiology Podiatrist
000419
CT
213ES0131X
Foot Surgery Podiatrist
000419
CT
332B00000X
Durable Medical Equipment & Medical Supplies
CT000419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004176815
—
CT
Enumeration date
12/18/2007
Last updated
04/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us