Individual
NICHOLAS A VINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 HAWLEY LN, SUITE 002, TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Mailing address
160 HAWLEY LN, SUITE 002, TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14383
CT
208800000X
Urology Physician
Primary
14383
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001143833
—
CT
Enumeration date
07/07/2006
Last updated
01/14/2019
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