Vasquez, Tito L.
Vasquez, Tito L. is an individual health care provider with primary practice located at 2600 Post Rd , Southport CT 06890-1258. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Vasquez, Tito L. can be contacted via phone (203) 292-8119.Contact Information
Primary practice address
2600 Post Rd
Southport CT 06890-1258
Phone: (203) 292-8119
Fax: (203) 292-8120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 046169 | Connecticut |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 046169 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 046169 | Connecticut |
Profile Details
| NPI number | 1083889398 |
|---|---|
| LBN Legal business name | Vasquez, Tito L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Feb 2nd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083889398 | NPPES |
| Connecticut | Other | D300000073 | MEDICARE PTAN |
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