NPI 1376925370

Shanique Bingham, DPM

Practitioner Podiatrist New Haven, CT

Practice location

Address: 428 Columbus Avenue Podiatry, New Haven, CT 06519-1233
Phone: (203) 503-3070
Fax: (203) 503-3107
Mailing address: 27 Hospital Ave STE 301, Danbury, CT 06810-5954

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1056 (CT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1376925370
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2015
Record last updated: 3 Oct 2023

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.