Individual
VICENTE R GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 OLD NEW MILFORD RD, SUITE 2D, BROOKFIELD, CT 06804-2426
(203) 489-5437
(203) 489-5430
Mailing address
2 OLD NEW MILFORD RD, SUITE 2D, BROOKFIELD, CT 06804-2426
(203) 489-5437
(203) 489-5430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039448
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279037-1
NY STATE LICENSE
NY
Enumeration date
06/29/2006
Last updated
02/26/2016
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