Riverside Podiatry, LLC
Riverside Podiatry, LLC is a Primary Podiatric Medicine Podiatrist in Avon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.
- Licensed in
- CT
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11 Westridge DrAvon, CT 06001-3648
Phone: (860) 436-1773
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Podiatric Medicine Podiatrist (primary) | Taxonomy 213EP1101X · Licence 881 (CT) |
|---|
Record details
| NPI number | 1609354372 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Japheth Mongare — Podiatrist · (860) 436-1773 |
| NPI enumerated | August 3, 2018 |
| Last updated in NPPES | August 3, 2018 |
| Mailing address | 11 Westridge Dr, Avon, CT 06001-3648 |