| Central Connecticut Footcare Center, Llc | |
|
807 Broad St., Meriden, CT 06450-3802 | |
| (203) 238-3668 | |
| (203) 238-3670 |
| Full Name | Central Connecticut Footcare Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 807 Broad St., Meriden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679655443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 000805 (Connecticut) | Primary |
| Provider Name | Tina Boucher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518945401 PECOS PAC ID: 6507883725 Enrollment ID: I20051027000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Connecticut Footcare Center, Llc 807 Broad St, Meriden, CT 06450-4301 Ph: (203) 238-3668 | Central Connecticut Footcare Center, Llc 807 Broad St., Meriden, CT 06450-3802 Ph: (203) 238-3668 |
Dr. David Michael Roccapriore, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35 Pleasant St, Suite 2a, Meriden, CT 06450 Phone: 203-634-0119 Fax: 203-235-5918 | |
Dr. Tina Anne Boucher, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 807 Broad St, Meriden, CT 06450 Phone: 203-238-3668 Fax: 203-238-3670 | |
Dr. William C Mitchard, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 576 E Main St, Meriden, CT 06450 Phone: 203-237-0524 Fax: 203-238-4782 |