Individual
VINCENZO PHILLIP JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
464 CONGRESS AVE STE 260, NEW HAVEN, CT 06519-1362
(248) 736-1237
Mailing address
464 CONGRESS AVE STE 265, NEW HAVEN, CT 06519-1366
(248) 736-1237
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23.004816
CT
Other
Enumeration date
05/13/2020
Last updated
06/23/2020
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