Individual
DR. MARILYN M VINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-2050
(203) 755-0131
Mailing address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-2050
(203) 755-0131
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000215
CT
213ES0131X
Foot Surgery Podiatrist
Primary
CT000215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068821(GROUP)
—
CT
01
—
030000215CT01
BLUECROSS/BLUESHIELD
CT
01
—
061060793
TAX ID
CT
01
—
061060793008
CIGNA
CT
01
—
29528
WELLCARE
CT
01
—
508832
AETNA
CT
01
—
760793
CONNECTICARE
CT
01
—
NHS335
OXFORD
CT
01
—
OR0932
ACS HEALTHNET
CT
01
—
PBW42
EMPIRE BC
NY
Enumeration date
05/10/2006
Last updated
08/21/2012
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