New England Foot Care LLC
Organization Active NPI Podiatrist · Granby, CT
NPI 1497299408 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1497299408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 662 (CT)
- Legal business name
- NEW ENGLAND FOOT CARE LLC
- Practice address
- 351 Salmon Brook St
Granby, CT 06035-1804 - Phone
- (860) 463-7151
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Henry Fedus, D.P.M.
- Title
- Owner
- Phone
- (860) 463-7151
National Provider Directory
Locations
351 Salmon Brook St
Granby, CT 06035
Phone (860) 653-0026
Interoperability endpoints
- https://api.platform.athenahealth.com/15014/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 662 | CT | Yes |
Addresses
Primary practice location
351 Salmon Brook St
Granby, CT 06035-1804
Mailing address
351 Salmon Brook St
Granby, CT 06035-1804
Phone (860) 653-0026
Other providers in Granby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.