Individual
MR. VINCENT J DIFONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
11 HAMRE LN, APARTMENT #1, BRANFORD, CT 06405-7715
(203) 913-6600
Mailing address
11 HAMRE LN, APARTMENT #1, BRANFORD, CT 06405-7715
(203) 913-6600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009201
CT
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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