Organization
NEW MILFORD PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G GUGLIELMO D.P.M. (OWNER)
(860) 354-8616
Entity
Organization
Contact information
Practice address
131 KENT ROAD, NEW MILFORD, CT 06776-3485
(860) 354-8616
(860) 354-0473
Mailing address
131 KENT ROAD, NEW MILFORD, CT 06776-3485
(860) 354-8616
(860) 354-0473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000676
CT
332BC3200X
Customized Equipment (DME)
000676
CT
Other
Enumeration date
01/08/2008
Last updated
03/31/2008
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