Healthcare Provider Details

I. General information

NPI: 1053571216
Provider Name (Legal Business Name): VERONICA R PLASENCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 BOSTON POST RD
MILFORD CT
06460-2776
US

IV. Provider business mailing address

1622 BOSTON POST RD
MILFORD CT
06460-2776
US

V. Phone/Fax

Practice location:
  • Phone: 203-932-6481
  • Fax: 203-932-4051
Mailing address:
  • Phone: 203-932-6481
  • Fax: 203-932-4051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number051971
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: