Evolve Foot And Woundcare | |
27 Hospital Ave Ste 301, Danbury, CT 06810-5954 | |
(619) 602-9947 | |
Not Available |
Full Name | Evolve Foot And Woundcare |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 27 Hospital Ave Ste 301, Danbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679290324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Shanique Bingham |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376925370 PECOS PAC ID: 9133426778 Enrollment ID: I20200817002215 |
Mailing Address | Practice Location Address |
---|---|
Evolve Foot And Woundcare 27 Hospital Ave Ste 301, Danbury, CT 06810-5954 Ph: (619) 602-9947 | Evolve Foot And Woundcare 27 Hospital Ave Ste 301, Danbury, CT 06810-5954 Ph: (619) 602-9947 |
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