Organization
HARTFORD PODIATRY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D RUTSTEIN DPM (DOCTOR)
(860) 523-8026
Entity
Organization
Contact information
Practice address
2049 SILAS DEANE HWY STE 202, ROCKY HILL, CT 06067-2332
(860) 563-1900
(860) 563-1902
Mailing address
999 ASYLUM AVE FIRST FLR, SUITE 111, HARTFORD, CT 06105-2416
(860) 523-8026
(860) 523-7622
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P00167
CT
332B00000X
Durable Medical Equipment & Medical Supplies
P00167
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004162476
—
CT
05
—
007162476
—
CT
01
—
1083691414
CIGNA
CT
Enumeration date
07/07/2016
Last updated
01/05/2021
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