B Glenn Blair DPM PC
B Glenn Blair DPM PC is a Primary Podiatric Medicine Podiatrist in Shelton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
375 Bridgeport AveShelton, CT 06484-3844
Phone: (203) 929-5559
Fax: (203) 929-5277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Podiatric Medicine Podiatrist (primary) | Taxonomy 213EP1101X · Licence 000419 (CT) |
|---|---|
| Radiology Podiatrist | Taxonomy 213ER0200X · Licence 000419 (CT) |
| Foot Surgery Podiatrist | Taxonomy 213ES0131X · Licence 000419 (CT) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence CT000419 (CT) |
Record details
| NPI number | 1306020938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Russell — Office Manager · (203) 929-5559 |
| NPI enumerated | December 18, 2007 |
| Last updated in NPPES | April 2, 2012 |
| Mailing address | 375 Bridgeport Ave, Shelton, CT 06484-3844 |
Other providers in Shelton
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Ballard Glenn Blair, DPM
375 Bridgeport Ave, Shelton, CT 06484 · (203) 929-5559