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NPI Code Detail

MEDICARE: VINCENT NEMERGUT INTERN

MEDICARE: VINCENT NEMERGUT INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCT

General Provider Information

NPI Number : 1669305488
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT NEMERGUT INTERN
Provider Business Mailing Address
First Line : 1789 NEW BRITAIN AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-3317
Country : US
Telephone Number : 860-754-3672
Fax Number : 860-754-3672
Provider Business Practice Location Address
First Line : 1789 NEW BRITAIN AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-3317
Country : US
Telephone Number : 860-754-3672
Fax Number : 860-754-3672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ VINCENT NEMERGUT INTERN” Practice Location

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