Divinagracia, Thomas V
Divinagracia, Thomas V is an individual health care provider with primary practice located at 85 Seymour St. Suite 409, Hartford CT 06106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Divinagracia, Thomas V can be contacted via phone (860) 522-4158.Contact Information
Primary practice address
85 Seymour St. Suite 409
Hartford CT 06106
Phone: (860) 522-4158
Fax: (860) 524-2652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 046129 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 046129 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 046129 | Connecticut |
Profile Details
| NPI number | 1083859649 |
|---|---|
| LBN Legal business name | Divinagracia, Thomas V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2008 |
| Last updated | Mar 29th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083859649 | NPPES |
| Connecticut | Other | 061406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 1083859649 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 3V3712 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | MEDICAID | 1083859649 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 1083859649 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 46286 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | P4028934 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 046129 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 508455 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 06-1406459 | PRIVATE HEALTHCARE SYSTEMS |
| Connecticut | Other | 7299062 | PRIVATE HEALTHCARE SYSTEMS |
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