VITALY KANTOROVICH

FARMINGTON, CT
NPI1902914724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CT  051169)
Enumeration Date2006-08-29
Last Update Date2012-08-09
Business Address
VITALY KANTOROVICH MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-5351
Phone number: 860-679-3245
Mailing Address
VITALY KANTOROVICH MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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