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SOCORRO JUAN VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
114 WOODLAND ST, DEPARTMENT OF ENDOCRINOLOGY, HARTFORD, CT 06105-1208
(860) 714-4285
(860) 714-8086
Mailing address
114 WOODLAND ST, DEPARTMENT OF ENDOCRINOLOGY, HARTFORD, CT 06105-1208
(860) 714-4285
(860) 714-8086

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
026695
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010026695CT05
ANTHEM BCBS
01
126695
CONNECTICARE
05
1266956
CT
01
1824243
UNITED HEALTHCARE
01
2V5163
HEALTHNET
01
48749469
TRI-CARE
01
P3636054
OXFORD
Enumeration date
08/30/2006
Last updated
03/25/2013
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