Individual
ELIZABETH C VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 CAMBRIDGE ST, PEDIATRICS DEPT, CAMBRIDGE, MA 02138-4302
(617) 661-5575
(617) 661-5134
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015160
NEIGHBORHOOD HEALTH
MA
01
—
059797
TUFTS
MA
05
—
3049434
—
MA
01
—
J08188
BLUE CROSS
MA
01
—
PP508
HARVARD PILGRIM
MA
Enumeration date
01/23/2006
Last updated
03/13/2012
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