| Ameriwound Physicians Inc Vt | |
|
98 Starr Farm Rd Burlington VT 05408-1323 | |
| (802) 658-6717 | |
| Not Available |
| Full Name | Ameriwound Physicians Inc Vt |
|---|---|
| Speciality | General Practice |
| Location | 98 Starr Farm Rd, Burlington, Vermont |
| Authorized Official Name and Position | Samson Fixler (SECRETARY) |
| Authorized Official Contact | 2162739800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ameriwound Physicians Inc Vt 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 | Ameriwound Physicians Inc Vt 98 Starr Farm Rd Burlington VT 05408-1323 Ph: (802) 658-6717 |
| NPI Number | 1114795028 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 8325480049 |
|---|---|
| Medicare Enrollment ID | O20240528000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114795028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Magid Keramati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750584371 PECOS PAC ID: 4880730399 Enrollment ID: I20230621000495 |
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