| Dr Gary N Shields, DPM | |
|
340 Bantam Rd, Suite 1-b, Litchfield, CT 06759-3318 | |
| (860) 567-1600 | |
| (860) 567-1606 |
| Full Name | Dr Gary N Shields |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 340 Bantam Rd, Litchfield, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073535456 | NPI | - | NPPES |
| 6240129 | Other | CT | CINGA |
| 041318600 | Medicaid | FL | |
| 261444569 | Other | SC | PALMETTO GBA DME |
| 6145090001 | Other | CT | DMEPOS |
| 008003499 | Medicaid | CT | |
| 614459 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000820 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary N Shields, DPM Po Box 741240, Orange City, FL 32774-1240 Ph: (386) 774-5211 | Dr Gary N Shields, DPM 340 Bantam Rd, Suite 1-b, Litchfield, CT 06759-3318 Ph: (860) 567-1600 |
Gary N. Shields Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 340 Bantam Rd, Suite 1-b, Litchfield, CT 06759 Phone: 860-567-1600 |