Healthcare Provider Details

I. General information

NPI: 1841247079
Provider Name (Legal Business Name): DRS KIERSTEIN & DIFRANCESCA DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CASE ST
NORWICH CT
06360-2214
US

IV. Provider business mailing address

5 CASE ST
NORWICH CT
06360-2214
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-0022
  • Fax: 860-887-8763
Mailing address:
  • Phone: 860-889-0022
  • Fax: 860-887-8763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN JANE SANFORD
Title or Position: OFFICE MANAGER
Credential:
Phone: 860-889-0022