Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Parent organization
HEALTHDRIVE PODIATRY GROUP, PC
Other names
HealthDrive Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHDRIVE PODIATRY GROUP, PC
Authorized official
DR. RIYA ALTOMONTE DPM (PRESIDENT/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization
Contact information
Practice address
101 CENTERPOINT DR STE 215, MIDDLETOWN, CT 06457-7568
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004124682
—
CT
01
—
50HEALTHPODCT01
BLUE CROSS BLUE SHIELD
CT
01
—
CA5925
MEDICARE RAILROAD
CT
Enumeration date
07/05/2006
Last updated
12/31/2019
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