Organization
AFFILIATED FOOT SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ANDREW BLUME DPM (PRESIDENT)
(203) 397-0624
Entity
Organization
Contact information
Practice address
508 BLAKE ST, NEW HAVEN, CT 06515-1287
(203) 397-0624
(203) 397-0372
Mailing address
508 BLAKE ST, NEW HAVEN, CT 06515-1287
(203) 397-0624
(203) 397-0372
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332BC3200X
Customized Equipment (DME)
00581
CT
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128808
—
CT
Enumeration date
05/18/2007
Last updated
12/07/2011
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