Individual
ROBERT PANTALEON VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 278-7201
(860) 545-2204
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2867
(860) 545-2204
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
67176
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310307
NEW YORK MEDICAL LICENSE
NY
01
—
67176
CONNECTICUT PHYSICIAN LICENSE
CT
01
—
MD466519
PENNSYLVANIA MEDICAL LICENSE
PA
Enumeration date
07/20/2015
Last updated
05/26/2022
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