Provider Demographics
NPI:1942357488
Name:MISCIA, VINCENT F (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:F
Last Name:MISCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:300 ROCKY HILL ROAD
Mailing Address - City:BRIDGEWATER
Mailing Address - State:CT
Mailing Address - Zip Code:06752-0004
Mailing Address - Country:US
Mailing Address - Phone:860-210-1948
Mailing Address - Fax:860-210-1951
Practice Address - Street 1:300 ROCKY HILL ROAD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:CT
Practice Address - Zip Code:06752-0004
Practice Address - Country:US
Practice Address - Phone:860-210-1948
Practice Address - Fax:860-210-1951
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038077207RC0000X
NY1032101207RC0000X
NJ25MA02362500207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease