B .Glenn Blair Dpm P.C. in Shelton - Primary Podiatric Medicine
B .Glenn Blair Dpm P.C. - NPI 1306020938
B .Glenn Blair Dpm P.C. is a Primary Podiatric Medicine in Shelton, Connecticut. B .Glenn Blair Dpm P.C. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for B .Glenn Blair Dpm P.C. is 1306020938. The last update date is 2012-04-02.
B .Glenn Blair Dpm P.C.'s current location address is 375 Bridgeport Ave, Shelton, Connecticut. You can contact this provider via phone number 2039295559 and fax number 2039295277. The mailing address for B .Glenn Blair Dpm P.C. is 375 Bridgeport Ave, Shelton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | B .Glenn Blair Dpm P.C. |
|---|---|
| Address | 375 Bridgeport Ave, Shelton, Connecticut |
| Phone Number | 2039295559 |
| Fax Number | 2039295277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Russell M Julie |
| Telephone Number | 2039295559 |
NPI Number Detail
| NPI Number | 1306020938 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2012-04-02 |
Provider Mailing Address Detail
| Address | 375 Bridgeport Ave |
|---|---|
| City | Shelton |
| State | Connecticut (CT) |
| Post Code | 64843844 |
| Phone Number | 2039295559 |
| Fax Number | 2039295277 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 419 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4176815 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to B .Glenn Blair Dpm P.C. by the Centers for Medicare & Medicaid Services?
The B .Glenn Blair Dpm P.C. has been issued the NPI (National Provider Identifier) 1306020938 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where B .Glenn Blair Dpm P.C. is physically located?
The B .Glenn Blair Dpm P.C. is situated at the following address: 375 Bridgeport Ave, Shelton, CT 64843844.
What is B .Glenn Blair Dpm P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for B .Glenn Blair Dpm P.C. is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.
On what date did B .Glenn Blair Dpm P.C. receive its 1306020938 assignment from the Centers for Medicare & Medicaid Services?
The B .Glenn Blair Dpm P.C. was assigned its 1306020938 on 2007-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to B .Glenn Blair Dpm P.C. most recently updated or revised?
The details related to B .Glenn Blair Dpm P.C., including its address, specialty, and other relevant information, were last updated or revised on 2012-04-02.
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