Organization
GRIFFIN FACULTY PHYSICIANS, INC.
Active
Other names
Griffin Faculty Practice Plan, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANNE VINCI (VP)
(203) 732-1330
Entity
Organization
Contact information
Practice address
67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Mailing address
67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
049045
CT
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
034350
CT
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
003450
CT
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/28/2005
Last updated
11/10/2025
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