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Contact Information

TITO L VASQUEZ, MD
2600 POST RD
SOUTHPORT, CT06890-1258
 Phone: 203-292-8119
 Fax: 203-292-8120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TITO L VASQUEZ · (Male)

NPI Number 1083889398
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2008
Last updated 02/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 046169
  • CT Other D300000073 MEDICARE PTAN
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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