Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivid Aesthetics & Wellness PLLC

Organization Family Medicine Physician · NPI 1861260671

Vivid Aesthetics & Wellness PLLC is a Family Medicine Physician in Cromwell, Connecticut. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Court St
Cromwell, CT 06416-1273
Phone: (860) 250-9017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 117 Dowd St, Newington, CT 06111-2608 — (860) 250-9017

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861260671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Selma Rosa — Nurse Practioner · (860) 250-9017
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address110 Court St, Cromwell, CT 06416-1273

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