Organization
PODIATRY ASSOCIATES OF WATERBURY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W WINTERS DPM (PRESIDENT/OWNER)
(203) 754-4247
Entity
Organization
Contact information
Practice address
80 PHOENIX AVE, SUITE 204, WATERBURY, CT 06702-1418
(203) 754-4247
(203) 757-8772
Mailing address
PO BOX 2657, PONTE VEDRA BEACH, FL 32004-2657
(203) 206-9700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000227
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051391
AETNA
—
01
—
030000227CT01
ANTHEM BLUE CROSS
—
01
—
355659
WELLCARE
—
05
—
4086022
—
CT
01
—
706363
CONNECTICARE
—
01
—
NHS333
OXFORD HEALTH PLANS
—
01
—
OV7691
HEALTHNET
—
Enumeration date
01/03/2008
Last updated
01/14/2011
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