| Vivid Aesthetics And Wellness | |
|
110 Court St Cromwell CT 06416-1273 | |
| (860) 250-9017 | |
| Not Available |
| Full Name | Vivid Aesthetics And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Court St, Cromwell, Connecticut |
| Authorized Official Name and Position | Selma Costa Rosa (NURSE PRACTIONER) |
| Authorized Official Contact | 8602509017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivid Aesthetics And Wellness 110 Court St Cromwell CT 06416-1273 Ph: () - | Vivid Aesthetics And Wellness 110 Court St Cromwell CT 06416-1273 Ph: (860) 250-9017 |
| NPI Number | 1861260671 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861260671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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