Organization
ADVANCED PODIATRIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T ARENA DPM (OWNER)
(203) 757-9200
Entity
Organization
Contact information
Practice address
1389 W MAIN ST, SUITE 222, WATERBURY, CT 06708-3104
(203) 757-9200
(203) 757-3990
Mailing address
1389 W MAIN ST, SUITE 222, WATERBURY, CT 06708-3104
(203) 757-9200
(203) 757-3990
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00007
CT
335E00000X
Prosthetic/Orthotic Supplier
P00007
CT
Other
Enumeration date
09/06/2006
Last updated
06/03/2014
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