Dr Richard E Ehle, DPM | |
51 Burlington Ave, Bristol, CT 06010-4204 | |
(860) 582-0747 | |
(860) 585-8124 |
Full Name | Dr Richard E Ehle |
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Gender | Male |
Speciality | Podiatrist |
Location | 51 Burlington Ave, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144385717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 00241 (Connecticut) | Primary |
Provider Name | Connecticut Foot Care Centers Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750446399 PECOS PAC ID: 7517054067 Enrollment ID: O20071030000485 |
Mailing Address | Practice Location Address |
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Dr Richard E Ehle, DPM 51 Burlington Ave, Bristol, CT 06010-4204 Ph: (860) 582-0747 | Dr Richard E Ehle, DPM 51 Burlington Ave, Bristol, CT 06010-4204 Ph: (860) 582-0747 |
Connecticut Foot Care Centers Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 51 Burlington Ave, Bristol, CT 06010 Phone: 860-582-0747 Fax: 860-585-8124 | |
George P. Zuk Jr., D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 6 North St, Bristol, CT 06010 Phone: 860-585-0585 Fax: 860-585-0602 | |
Anthony Brockington, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 51 Burlington Ave, Bristol, CT 06010 Phone: 860-582-0747 |