Affiliated Foot Surgeons Pc

LBN: Affiliated Foot Surgeons Pc
Affiliated Foot Surgeons Pc is an health care organization with primary practice located at 508 Blake St , New Haven CT 06515-1287. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Affiliated Foot Surgeons Pc can be contacted via phone (203) 397-0624, or through Blume, Peter Andrew via phone (203) 397-0624.

Contact Information

Primary practice address
508 Blake St New Haven CT 06515-1287
Phone: (203) 397-0624
Fax: (203) 397-0372
Website:
Map and Directions
Authorized official contact:
Name: Blume, Peter Andrew Doctor of Podiatric Medicine (DPM)
Phone: (203) 397-0624

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Customized Equipment 332BC3200X 00581 Connecticut
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1760690572
LBN Legal business name Affiliated Foot Surgeons Pc
DBA Doing business as
Authorized official Blume, Peter Andrew Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Dec 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760690572 NPPES
Connecticut MEDICAID 004128808

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