Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000705 | CT |
Y | 222Z00000X | Podiatrist | 000705 | CT |
NPI | 1053326488 |
---|---|
Provider Name | Dr. Tina Marie Chieco-Schwartz |
First Address | North Haven, CT 06473-1258 |
Second Address | Bridgeport, CT 06606-5373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |