Individual
VINCENT PAUL DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 RIVERSIDE AVE, BRISTOL, CT 06010-6312
(860) 516-7593
Mailing address
167 MAIN ST, SOUTHINGTON, CT 06489-2505
(860) 426-0252
(860) 426-0458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71105
CT
Other
Enumeration date
03/20/2019
Last updated
10/17/2025
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