Individual
DR. VINOD V PATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8701
Mailing address
330 WASHINGTON ST, SUITE 410, NORWICH, CT 06360-2700
(860) 425-5300
(860) 425-5301
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
045607
CT
208600000X
Surgery Physician
045607
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010045607CT01
ANTHEM BCBS
CT
Enumeration date
08/05/2007
Last updated
07/19/2011
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