Provider Demographics
NPI:1043667173
Name:BARATTA, VANESSA MARIE (MD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:BARATTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6 NORTHWESTERN DR STE 305
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3428
Mailing Address - Country:US
Mailing Address - Phone:860-242-8591
Mailing Address - Fax:860-242-2511
Practice Address - Street 1:6 NORTHWESTERN DR STE 305
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3428
Practice Address - Country:US
Practice Address - Phone:860-242-8591
Practice Address - Fax:860-242-2511
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT79455208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery