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Contact Information

AMBER N VACULIN, PA
100 GRAND ST
NEW BRITAIN, CT06052-2016
 Phone: 860-224-5242
 Fax: 860-224-5742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

NPI Profile & details for AMBER N VACULIN · (Female)

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
  • CT License # 4686
  • TX License # PA1101
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
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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