Joshua San Vicente, MD Valid NPI

Individual provider · Internal Medicine Physician · Middletown, CT

NPI

1912972720

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

036371 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-23

Last updated

2014-03-03