Individual
BART J VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
29 ERDONI RD, COLUMBIA, CT 06237-1306
(541) 281-2223
Mailing address
29 ERDONI RD, COLUMBIA, CT 06237-1306
(541) 281-2223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10341
CT
Other
Enumeration date
02/01/2022
Last updated
02/03/2022
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