Organization
PERFORMANCE FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL SCOTT SEGALMAN DPM (OWNER/PODIATRIST)
(203) 755-0489
Entity
Organization
Contact information
Practice address
714 CHASE PKWY STE 4, WATERBURY, CT 06708-3012
(203) 755-0489
(203) 755-7523
Mailing address
714 CHASE PKWY STE 4, WATERBURY, CT 06708-3012
(203) 755-0489
(203) 755-7523
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
959
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004074
—
CT
Enumeration date
07/10/2018
Last updated
07/10/2018
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