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Individual

VIPUL DUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 TAMARACK RD, SUITE 106, SOUTH WINDSOR, CT 06074-5539
(860) 644-5900
(860) 644-5900
Mailing address
2800 TAMARACK RD, SUITE 106, SOUTH WINDSOR, CT 06074-5539
(860) 644-5900
(860) 644-5900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
041795
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001417957
CT
Enumeration date
07/26/2006
Last updated
04/13/2020
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