Individual
DR. BRUCE M VINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
000214
CT
213ES0131X
Foot Surgery Podiatrist
Primary
CT000214
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068821
—
CT
01
—
030000214CT01
BLUE CROSS BLUE SHIELD
CT
01
—
061060793
UNITED HEALTH CARE
CT
01
—
061060793003
CIGNA
CT
01
—
508844
AETNA
CT
01
—
760794
CONNECTICARE
CT
01
—
NHS348
OXFORD
CT
01
—
ORO931
ACS HEALTHNET
CT
01
—
PBW42
EMPIRE BLUECROSS
CT
Enumeration date
05/09/2006
Last updated
08/21/2012
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