A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI # | 1275184350 |
| LBN Legal business name | WILTON VASCULAR MEDICAL GROUP PC |
| Authorized official | LORENA ESPARZA - (REVENUE CYCLE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/20/2019 |
| Last updated | 09/20/2019 - About 7 years ago |
| Identifiers | n/a |
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WILTON VASCULAR MEDICAL GROUP PC
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