Individual
DR. GORDON E FOSDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00723
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000723
CONNECTICARE
CT
05
—
004206951
—
CT
01
—
030000723CT05
BLUE CROSS BLUE SHIELD
CT
Enumeration date
07/15/2006
Last updated
06/26/2013
Update your record
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