Organization
BROOKFIELD PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA CORNELIUS D.P.M. (DOCTOR)
(203) 740-8637
Entity
Organization
Contact information
Practice address
246 FEDERAL RD, SUITE C-21, BROOKFIELD, CT 06804-2647
(203) 740-8637
(203) 740-8750
Mailing address
246 FEDERAL RD, SUITE C-21, BROOKFIELD, CT 06804-2647
(203) 740-8637
(203) 740-8750
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000514
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000514CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
12/28/2006
Last updated
02/20/2009
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