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Individual

MICHAEL CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
27 DANBURY RD FL 3, WILTON, CT 06897-4405
(203) 761-1230
(203) 761-6767
Mailing address
27 DANBURY RD FL 3, WILTON, CT 06897-4405
(203) 761-1230
(203) 761-6767

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
474
CT
213ES0131X
Foot Surgery Podiatrist
474
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04091617
CT
Enumeration date
12/16/2006
Last updated
12/10/2012
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