Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 56460 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036.140147 | IL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 56460 | CT |
NPI | 1790070043 |
---|---|
Provider Name | Dr. Emily Claire Vafek |
First Address | North Franklin, CT 06254-1807 |
Second Address | Niantic, CT 06357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 17/03/2018 |