Organization
MILFORD VASCULAR INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY FITZGERALD (OFFICE MANAGER)
(203) 882-8346
Entity
Organization
Contact information
Practice address
20 COMMERCE PARK, MILFORD, CT 06460-3511
(203) 882-8346
(203) 882-0384
Mailing address
20 COMMERCE PARK, MILFORD, CT 06460-3511
(203) 882-8346
(203) 882-0384
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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