Individual
VINCENT I. MACANDREW JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 456-3997
(860) 450-7323
Mailing address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 456-3997
(860) 450-7323
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
044039
CT
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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