Organization
HOUSATONIC VALLEY PODIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANAL ANZ DPM (OWNER)
(203) 450-0144
Entity
Organization
Contact information
Practice address
333 RIVER ROAD, SHELTON, CT 06484-5120
(203) 450-0144
Mailing address
333 RIVER ROAD, SHELTON, CT 06484-5120
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000882
CT
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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