Foot Specialists of Trumbull LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P00355 Issued in CT

Legal business name

FOOT SPECIALISTS OF TRUMBULL LLC

Practice address

4154 Madison Ave
Trumbull, CT 06611-3563

Phone

(203) 374-1700

Fax

(203) 372-1975

NPI assigned

Sep 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Anthony Eterno, D.P.M.

Title

Owner

Phone

(203) 374-1700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1992990196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-374-1700",
            "fax_number": "203-372-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-374-1700",
            "fax_number": "203-372-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF TRUMBULL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ETERNO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-374-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "P00355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhegan Fisher, MS CCC/SLP
• Steven A Fisher, M.D.
• John Amable Flores, M.D.
• Salvatore J Florio, DDS, MD
• Alexander Fogel, MD
• James Forbes
• Danielle Ford, BCBA, LBA
• Danielle Lauren Forma
• Jennifer Ayers Formoso, LCSW
• Crista Forstrom

• Podiatrist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.