Kantorovich, Vitaly
Kantorovich, Vitaly is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kantorovich, Vitaly can be contacted via phone (860) 679-3245.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06030-5351
Phone: (860) 679-3245
Fax: (860) 679-1867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 051169 | Connecticut |
Profile Details
| NPI number | 1902914724 |
|---|---|
| LBN Legal business name | Kantorovich, Vitaly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Aug 9th, 2012 - about 12 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 | 1902914724 | NPPES |
| Connecticut | MEDICAID | 1902914724 |
Popular Providers
-
Ansar, Muhammad
263 Farmington Avenue , Farmington CT 06030 -
Gulati, Mahima
263 Farmington Avenue , Farmington CT 06030-8025 -
Luthra, Pooja
263 Farmington Ave , Farmington CT 06030-0001 -
Jones, Thomas Gordon
1027 Farmington Avenue , Farmington CT 06032-1511 -
Arnold, Andrew
263 Farmington Ave , Farmington CT 06030-0001 -
Canalis, Ernesto
263 Farmington Ave , Farmington CT 06030-5351 -
Vedere, Tarunya Reddy
263 Farmington Ave , Farmington CT 06030-8025 -
Lorenzo, Joseph A
263 Farmington Ave , Farmington CT 06030-0001