Organization
EVOLVE FOOT AND WOUNDCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIQUE BINGHAM DPM (OWNER)
(619) 602-9947
Entity
Organization
Contact information
Practice address
27 HOSPITAL AVE STE 301, DANBURY, CT 06810-5954
(619) 602-9947
Mailing address
27 HOSPITAL AVE STE 301, DANBURY, CT 06810-5954
(619) 602-9947
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/03/2023
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