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Individual

DR. RICHARD MICHAEL MILETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
52 FEDERAL RD, 1A, DANBURY, CT 06810-6162
(203) 792-3668
(203) 796-7478
Mailing address
52 FEDERAL RD, 1A, DANBURY, CT 06810-6162
(203) 792-3668
(203) 796-7478

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000598
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000598
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000598
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004126290
CT
05
004228864
CT
01
030000598CT01
BLUECARE HEALTH PLAN
CT
01
480000535
MEDICARE ID
CT
01
480017212
RAIL ROAD MEDICARE INDIVIDUAL PTAN #
CT
Enumeration date
06/02/2006
Last updated
02/11/2013
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