Organization
MT PODIATRY, LLC
Active
Organization
MT PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED TELEB DPM (OWNER)
(860) 992-2214
Entity
Organization
Contact information
Practice address
1021 ASYLUM AVE, APT 407, HARTFORD, CT 06105-2436
(860) 992-2214
Mailing address
1021 ASYLUM AVE, APT 407, HARTFORD, CT 06105-2436
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000829
CT
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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