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Organization

FAMILY FOOT CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY D. MARTONE DPM (DPM)
(860) 289-4500
Entity
Organization

Contact information

Practice address
11 CENTRAL AVE, EAST HARTFORD, CT 06108-3102
(860) 289-4500
(860) 528-5289
Mailing address
11 CENTRAL AVE, EAST HARTFORD, CT 06108-3102
(860) 289-4500
(860) 528-5289

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
CT
213ES0131X
Foot Surgery Podiatrist
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004142915
CT
Enumeration date
03/26/2007
Last updated
05/10/2017
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