San Vicente, Joshua

San Vicente, Joshua is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. San Vicente, Joshua can be contacted via phone (860) 358-5322.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-5322
Fax: (860) 358-6298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036371 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036371 Connecticut

Profile Details

NPI number 1912972720
LBN Legal business name San Vicente, Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 3rd, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912972720 NPPES
Connecticut Other 036371 CT LICENSE

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