Whalio Doctors

NPI 1306020938

B .Glenn Blair DPM P.C.

Organisation Primary Podiatric Medicine Podiatrist Shelton, CT

Practice location

Address
375 Bridgeport Ave, Shelton, CT 06484-3844
Phone
(203) 929-5559
Fax
(203) 929-5277

Authorised official

Name
Julie M Russell
Title
Office Manager
Phone
(203) 929-5559

Registered specialties (4)

Primary Podiatric Medicine Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 000419 (CT)
Radiology Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ER0200X Licence 000419 (CT)
Foot Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 000419 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence CT000419 (CT)

Registry record

NPI
1306020938
Entity type
Organization
NPI issued
18 Dec 2007
Record last updated
2 Apr 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.