Provider Demographics
NPI:1184618381
Name:VANNOSTRAND, FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:VANNOSTRAND
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 1:47 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-1227
Mailing Address - Country:US
Mailing Address - Phone:860-684-5848
Mailing Address - Fax:860-684-0469
Practice Address - Street 1:47 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-1227
Practice Address - Country:US
Practice Address - Phone:860-684-5848
Practice Address - Fax:860-684-0469
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022984170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT61373363OtherUNITED HEALTH CARE
CT01022984OtherCIGNA
CT010022984-CT01OtherBCBS
CT050668OtherCONNECTICARE
CT4269971OtherAETNA
CT0R3741OtherHEALTH NET
CTP499718OtherOXFORD HEALTH PLANS
CT1229848Medicaid
CT050668OtherCONNECTICARE