Organization
ACHILLES FOOT HEALTH CENTER, L.L.C.
Active
Other names
Advanced Footcare Specialists of Connecticut L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W. DUROCHER D.P.M. (OWNER OF PRACTICE)
(203) 239-1119
Entity
Organization
Contact information
Practice address
20 WASHINGTON AVE, SUITE 212, NORTH HAVEN, CT 06473-2343
(203) 239-1119
(203) 234-1832
Mailing address
20 WASHINGTON AVE, SUITE 212, NORTH HAVEN, CT 06473-2343
(203) 239-1119
(203) 234-1832
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00709
CT
332B00000X
Durable Medical Equipment & Medical Supplies
00709
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191277
—
CT
01
—
007090
CONNECTICARE
CT
05
—
008003227
—
CT
01
—
030000709CT01
ANTHEM
CT
01
—
103244500
FEDERAL DOL OWCP
CT
01
—
11066538
MULTIPLAN
CT
01
—
2110284
AETNA
CT
01
—
2704187
UNTIED HEALTHCARE
CT
01
—
60353065001
CIGNA
CT
01
—
CPD# 1392050
AETNA - COVENTRY-FIRST HEALTH
CT
01
—
DO3120
MEDICARE RAILROAD
CT
01
—
P1271789
OXFORD
CT
Enumeration date
02/01/2008
Last updated
02/20/2015
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