Organization
SHORELINE FOOT & ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN J COURTRIGHT DPM (OWNER)
(860) 437-3737
Entity
Organization
Contact information
Practice address
85 POHEGANUT DR, GROTON, CT 06340-3252
(860) 437-3737
(860) 437-0530
Mailing address
85 POHEGANUT DR, GROTON, CT 06340-3252
(860) 437-3737
(860) 437-0530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6521
RAIL ROAD MEDICARE
CT
Enumeration date
01/10/2007
Last updated
03/27/2012
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