Individual
AUSTIN PHILIP DAVIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Mailing address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1164
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008126897
—
CT
Enumeration date
04/12/2021
Last updated
06/25/2024
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