Organization
FAMILY FOOT CARE AND SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RUDY (ADMIN)
(850) 353-2396
Entity
Organization
Contact information
Practice address
247 BROAD ST STE 3, MILFORD, CT 06460-3273
(203) 876-7736
Mailing address
247 BROAD ST STE 3, MILFORD, CT 06460-3273
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000509
CT
335E00000X
Prosthetic/Orthotic Supplier
000509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000509J185
CIGNA HEALTHCARE
CT
05
—
004099257
—
CT
01
—
030000509CT05
BLUE CROSS BLUE SHIELD
CT
01
—
030000509CT06
BLUE CROSS BLUE SHIELD
CT
01
—
2885050004
CIGNA HEALTHCARE
CT
01
—
2V2611
HEALTHNET
CT
01
—
480035180
RAILROAD MEDICARE
CT
01
—
NHS138
OXFORD HEALTH
CT
Enumeration date
01/16/2008
Last updated
10/30/2024
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