Organization
BRIAN P. DESCHAMPS, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PETER DESCHAMPS DPM (OWNER)
(860) 875-7078
Entity
Organization
Contact information
Practice address
351 MERLINE RD, SUITE 101, VERNON, CT 06066-4040
(860) 875-7078
(860) 875-8991
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 444-0074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000504
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
000504
CT
213ES0131X
Foot Surgery Podiatrist
Primary
000504
CT
Other
Enumeration date
06/08/2007
Last updated
08/23/2012
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