# GRIFFIN FACULTY PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griffin Faculty Practice Plan, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598755605
- **Authorized official:** LORI ANNE VINCI (VP)
- **Authorized official phone:** (203) 732-1330

## Contact information

- **Practice address:** 67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418-1328
- **Practice address phone:** (203) 732-1330
- **Practice address fax:** (203) 732-1332
- **Mailing address:** 67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418-1328
- **Mailing address phone:** (203) 732-1330
- **Mailing address fax:** (203) 732-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | 049045 | CT | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 034350 | CT | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | 003450 | CT | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 11/10/2025