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1811949571
VINCENT J MICCOLI
TORRINGTON, CT
NPI
1811949571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000949)
Enumeration Date
2006-05-17
Last Update Date
2021-06-17
Business Address
-- VINCENT J MICCOLI PA
245 ALVORD PARK ROAD
TORRINGTON, CT 06790
Phone number: 860-482-8539
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Mailing Address
-- VINCENT J MICCOLI PA
245 ALVORD PARK ROAD
TORRINGTON, CT 06790
Phone number: 860-482-8539
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