NPI Profile for AMBER N VACULIN in NEW BRITAIN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Special Hospital |
284300000X | A0[7] | Hospital-Specialty Hospital (cardiac, orthopedic, surgical) |
| NPI Number | 1790114296 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 11/05/2013 | |
| Last updated | 02/07/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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AMBER N VACULIN
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