Organization
PRIMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT RASTOGI M.D. (PRESIDENT)
(203) 374-6162
Entity
Organization
Contact information
Practice address
4154 MADISON AVE, TRUMBULL, CT 06611-3563
(203) 374-1700
(203) 372-1975
Mailing address
4154 MADISON AVE, TRUMBULL, CT 06611-3563
(203) 374-1700
(203) 372-1975
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/19/2012
Last updated
03/27/2013
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