| |
109 Boston Post Rd, Orange, CT 06477-3235 | |
(203) 799-3668 | |
(203) 891-0766 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 109 Boston Post Rd, Orange, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396944427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Gary N Grippo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1013943448 PECOS PAC ID: 2769453554 Enrollment ID: I20070515000172 |
Mailing Address | Practice Location Address |
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109 Boston Post Rd, Orange, CT 06477-3235 Ph: (203) 799-3668 | 109 Boston Post Rd, Orange, CT 06477-3235 Ph: (203) 799-3668 |
Dr. Bruce M Backer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 272 Charles Ct, Orange, CT 06477 Phone: 203-494-5917 | |
Dr. Bonnie Drozdowicz, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 382 Timberlane Dr, Orange, CT 06477 Phone: 203-799-0858 |