# DR. VINCENT THOMAS CODISPOTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154445427
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101241310 | VA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 052938 | CT | Yes |
| 208VP0000X | Pain Medicine Physician | 0101241310 | VA | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 06/24/2021