Organization
CONNECTICUT PODIATRY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHN DADDIO D.P.M (PARTNER)
(203) 933-8606
Entity
Organization
Contact information
Practice address
385 MAIN ST, WEST HAVEN, CT 06516-4312
(203) 933-8606
(203) 932-9571
Mailing address
385 MAIN ST, WEST HAVEN, CT 06516-4312
(203) 933-8606
(203) 932-9571
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
P00345
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040608280
—
CT
Enumeration date
11/07/2006
Last updated
01/05/2010
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