Individual
DAVID VANNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 SEYMOUR ST, SUITE 725 CONNECTICUT CARDIOTHORACIC SURGICAL ASSOC, HARTFORD, CT 06106
(860) 524-5905
(860) 522-3951
Mailing address
85 SEYMOUR ST, STE 919, HARTFORD, CT 06106-5528
(860) 524-5905
(860) 522-3951
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000357
CT
Other
Enumeration date
01/03/2006
Last updated
06/07/2019
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