Individual
MR. HENRY F FEDUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Mailing address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000662
PODIATRIST LICENSE
CT
01
—
25027
CONTROLLED SUBSTANCE
CT
Enumeration date
04/20/2006
Last updated
07/08/2007
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