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Organization

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC

Active
Other names
Chase Parkway Podiatry
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TRITTO (DPM/OWNER)
(301) 933-7133
Entity
Organization

Contact information

Practice address
714 CHASE PKWY, SUITE 4, WATERBURY, CT 06708-3012
(203) 755-0489
(203) 755-7523
Mailing address
714 CHASE PKWY, SUITE 4, WATERBURY, CT 06708-3012
(203) 755-0489
(203) 755-7523

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
548
CT
335E00000X
Prosthetic/Orthotic Supplier
548
CT

Other

Enumeration date
02/04/2008
Last updated
09/07/2023
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