Gordon E Fosdick in Waterford - Foot Surgery
Gordon E Fosdick - NPI 1740206192
Gordon E Fosdick is a Foot Surgery in Waterford, Connecticut. Gordon E Fosdick practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Gordon E Fosdick is 1740206192. The last update date is 2013-06-26.
Gordon E Fosdick's current location address is 196 Parkway S, Waterford, Connecticut. You can contact this provider via phone number 8604427027 and fax number 8604440074. The mailing address for Gordon E Fosdick is 196 Parkway S, Waterford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon E Fosdick |
|---|---|
| Address | 196 Parkway S, Waterford, Connecticut |
| Phone Number | 8604427027 |
| Fax Number | 8604440074 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1740206192 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2013-06-26 |
Provider Mailing Address Detail
| Address | 196 Parkway S |
|---|---|
| City | Waterford |
| State | Connecticut (CT) |
| Post Code | 63851234 |
| Phone Number | 8604427027 |
| Fax Number | 8604440074 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 723 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 723 | CT | CONNECTICARE | |
| 030000723CT05 | CT | BLUE CROSS BLUE SHIELD | |
| 4206951 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gordon E Fosdick by the Centers for Medicare & Medicaid Services?
The Gordon E Fosdick has been assigned the NPI (National Provider Identifier) 1740206192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gordon E Fosdick is geographically located?
The Gordon E Fosdick is physically situated at the following location: 196 Parkway S, Waterford, CT, 63851234.
What is Gordon E Fosdick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gordon E Fosdick is Foot Surgery, and the taxonomy code that classifies this field of practice is 213Es0131X.
When did Gordon E Fosdick receive its 1740206192 assignment?
The Gordon E Fosdick was assigned its 1740206192 on 2006-07-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gordon E Fosdick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gordon E Fosdick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-06-26.