Individual
DR. VINCENT THOMAS CODISPOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 SEYMOUR ST STE 100, HARTFORD, CT 06106-5521
(860) 549-3210
(860) 247-3803
Mailing address
74 BATTERSON PARK RD STE 107, FARMINGTON, CT 06032-2565
(860) 549-8276
(860) 674-8084
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101241310
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
052938
CT
208VP0000X
Pain Medicine Physician
0101241310
VA
Other
Enumeration date
03/19/2007
Last updated
06/24/2021
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