Individual
DR. MEAGAN VAITSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Mailing address
6 STACEY LN, MADISON, CT 06443-2464
(203) 676-4443
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
77563
CT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
77563
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
07/09/2026
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