Individual
MR. STEPHEN JOHN VINITSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
45 SCHOOL STREET, BRIDGEWATER STATE COLLEGE HEALTH SERVICES, BRIDGEWATER, MA 02325-0001
(508) 531-2856
(508) 531-6193
Mailing address
203 LAKE SHORE DR, E FALMOUTH, MA 02536-2701
(508) 540-3828
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
176937
MA
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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