Individual
EVELYN COTA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 GRAND STREET, NEW BRITAIN, CT 06050
(860) 224-5261
(860) 224-5957
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69237
CT LIC
CT
Enumeration date
04/03/2018
Last updated
08/24/2021
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