Individual
DR. LOUISE ELLEN TORTORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1300 POST RD, SUITE 206, FAIRFIELD, CT 06824-6038
(203) 254-0093
(203) 256-0547
Mailing address
1300 POST RD, SUITE 206, FAIRFIELD, CT 06824-6038
(203) 254-0093
(203) 256-0547
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000410
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008040062
MEDICAID DME
CT
05
—
4067484
—
CT
Enumeration date
08/20/2006
Last updated
05/28/2014
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