Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | P00007 | CT |
Y | 222Z00000X | Podiatrist | P00007 | CT |
N | 213ES0103X | Foot & Ankle Surgery | P00007 | CT |
NPI | 1023009768 |
---|---|
Provider Name | Charles T Arena |
First Address | Waterbury, CT 06708 |
Second Address | Waterbury, CT 06708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 18/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023009768 | RAILROAD MEDICARE (01) | CT |