Organization
FAMILY FOOTCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M DEJESUS DPM (PODIATRIST)
(203) 723-7884
Entity
Organization
Contact information
Practice address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Mailing address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004094554
—
CT
05
—
004225703
—
CT
Enumeration date
02/27/2007
Last updated
09/14/2022
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