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Organization

CORE PODIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACEY MARIN (OFFICE MANAGER)
(860) 952-3000
Entity
Organization

Contact information

Practice address
1753 MERIDEN-WATERBURY TPKE, SOUTHINGTON, CT 06489-0770
(860) 952-3000
(860) 952-3000
Mailing address
1753 MERIDEN-WATERBURY TPKE, SOUTHINGTON, CT 06489-0770
(860) 952-3000
(860) 952-3000

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
CT

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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