# MILFORD VASCULAR INSTITUTE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235701335
- **Authorized official:** MISS ASHLEY FITZGERALD (OFFICE MANAGER)
- **Authorized official phone:** (203) 882-8346

## Contact information

- **Practice address:** 20 COMMERCE PARK, MILFORD, CT 06460-3511
- **Practice address phone:** (203) 882-8346
- **Practice address fax:** (203) 882-0384
- **Mailing address:** 20 COMMERCE PARK, MILFORD, CT 06460-3511
- **Mailing address phone:** (203) 882-8346
- **Mailing address fax:** (203) 882-0384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 07/16/2021
- **Last updated:** 07/16/2021