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Individual

ERIN M VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2689
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D400125148
MEDICARE
CT
01
P01712141
RAILROAD MEDICARE
CT
Enumeration date
01/21/2010
Last updated
04/27/2020
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