Individual
BARTHOLOMEW J VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(541) 281-2223
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(541) 281-2223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10341
CT
Other
Enumeration date
02/01/2022
Last updated
05/28/2026
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