| Doctor Name: | HENRY VLADYKA |
| NPI Number: | 1013011154 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 001379 |
| Business Practice Address: | 435 Lewis Ave Meriden, CT - 064512101 |
| Business Phone Number: | 2036948200 |
| Business Fax Number: | 2036948200 |
| Mailing Address: | 435 Lewis Ave, MERIDEN |
| State: | CT |
| Postal Code: | 064512101 |
| Phone Number: | 2036948200 |
| Fax Number: | 2036948200 |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 001379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |