Provider Demographics
NPI:1952328726
Name:FAIRFIELD COUNTY FOOT SURGEONS, PC
Entity Type:Organization
Organization Name:FAIRFIELD COUNTY FOOT SURGEONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:203-866-3377
Mailing Address - Street 1:4 COLONY ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5803
Mailing Address - Country:US
Mailing Address - Phone:203-866-3377
Mailing Address - Fax:203-866-5599
Practice Address - Street 1:4 COLONY ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5803
Practice Address - Country:US
Practice Address - Phone:203-866-3377
Practice Address - Fax:203-866-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC00837Medicare ID - Type Unspecified
CT5135900001Medicare NSC