NPI 1215271713

Primed, LLC

Organisation Podiatrist Bridgeport, CT

Practice location

Address: 4699 Main St Suite 211, Bridgeport, CT 06606-1830
Phone: (203) 374-3464
Fax: (203) 374-1020

Authorised official

Name: Amit Rastogi
Title: President
Phone: (203) 374-6162

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Connecticut →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X

Registry record

NPI: 1215271713
Entity type: Organization
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.