Vicky B Tola, MD Valid NPI

Individual provider · Family Medicine Physician · Bridgeport, CT

NPI

1689641821

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

46163 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2006-03-07

Last updated

2013-09-17