Organization
RAFAEL GONZALEZ DPM LLC
Active
Other names
Greater Hartford Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL GONZALEZ DPM (OWNER)
(860) 263-7999
Entity
Organization
Contact information
Practice address
580 COTTAGE GROVE RD STE 203, BLOOMFIELD, CT 06002-3088
(860) 263-7999
(860) 216-0664
Mailing address
580 COTTAGE GROVE RD, STE 203, BLOOMFIELD, CT 06002-3088
(860) 263-7999
(860) 216-0664
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000808
CT
213ES0131X
Foot Surgery Podiatrist
000808
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000808
CT
Other
Enumeration date
05/01/2009
Last updated
11/06/2015
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