Individual
MRS. DEBRA ANN VINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
357 HARTFORD TURNPIKE, NEW ENGLAND DERMATOLOGY ASSOCIATES, VERNON, CT 06066
(860) 871-9441
Mailing address
357 HARTFORD TPKE, NEW ENGLAND DERMATOLOGY ASSOCIATES, VERNON, CT 06066-4838
(860) 871-9441
(860) 871-0227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
000943
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000943
CONNECTICARE
—
01
—
290000943CT01
ANTHEM BLUE SHIELD
—
01
—
P2139469
OXFORD HEALTH PLAN
—
Enumeration date
08/04/2006
Last updated
04/24/2008
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