Provider Demographics
NPI:1225664410
Name:VALE FOOT AND ANKLE SURGERY, PLLC
Entity Type:Organization
Organization Name:VALE FOOT AND ANKLE SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:860-324-6505
Mailing Address - Street 1:350 CENTER ROCK GRN STE 3
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-3170
Mailing Address - Country:US
Mailing Address - Phone:203-941-6999
Mailing Address - Fax:203-463-8308
Practice Address - Street 1:350 CENTER ROCK GRN STE 3
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-3170
Practice Address - Country:US
Practice Address - Phone:203-941-6999
Practice Address - Fax:203-463-8308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies