Organization
THE FOOT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCANLON DPM (PRESIDENT)
(860) 456-4250
Entity
Organization
Contact information
Practice address
162 A MANSFIELD AVE, WILLIMANTIC, CT 06226
(860) 456-4250
(860) 456-3745
Mailing address
162 A MANSFIELD AVE, WILLIMANTIC, CT 06226
(860) 456-4250
(860) 456-3745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
650
CT
Other
Enumeration date
06/27/2006
Last updated
01/08/2020
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