Provider Demographics
NPI:1104850528
Name:VINTON, CHRISTOPHER JAY (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAY
Last Name:VINTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:JAY AANDAHL
Other - Last Name:VINTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:59 QUINSIGAMOND AVE
Mailing Address - Street 2:WORCESTER COUNTY ORTHOPEDICS
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1806
Mailing Address - Country:US
Mailing Address - Phone:508-755-1123
Mailing Address - Fax:508-755-5640
Practice Address - Street 1:59 QUINSIGAMOND AVE
Practice Address - Street 2:WORCESTER COUNTY ORTHOPEDICS
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1806
Practice Address - Country:US
Practice Address - Phone:508-755-1123
Practice Address - Fax:508-755-5640
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210478207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery