Dr. Bruce M Backer
Foot Surgery
272 Charles Ct
Orange
, Connecticut 06477-1629
Dr. Bruce M Backer
Foot Surgery
272 Charles Ct
Orange
, Connecticut 06477-1629
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Bruce M Backer
- 272 Charles Ct
- Orange, CT
- Zip : 06477-1629
- Phone :
Second Address
- Dr. Bruce M Backer
- 272 Charles Ct
- Orange, CT
- Zip : 06477-1629
- Phone : (203) 494-5917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | P00364 | CT |
National Provider Identifier
| NPI | 1073887923 |
|---|---|
| Provider Name | Dr. Bruce M Backer |
| First Address | Orange, CT 06477-1629 |
| Second Address | Orange, CT 06477-1629 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2012 |
| Last Update Date | 23/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.