Mdf Geriatric Healthcare Pc | |
46 Lakemont Rd Newport VT 05855-9690 | |
(802) 673-4916 | |
Not Available |
Full Name | Mdf Geriatric Healthcare Pc |
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Speciality | Internal Medicine |
Location | 46 Lakemont Rd, Newport, Vermont |
Authorized Official Name and Position | Maria Domininca Fatigati (OWNER) |
Authorized Official Contact | 8026734916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mdf Geriatric Healthcare Pc 46 Lakemont Rd Newport VT 05855-9690 Ph: (802) 673-4916 | Mdf Geriatric Healthcare Pc 46 Lakemont Rd Newport VT 05855-9690 Ph: (802) 673-4916 |
NPI Number | 1033835277 |
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Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/19/2022 |
Medicare PECOS PAC ID | 5395115877 |
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Medicare Enrollment ID | O20221227001003 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033835277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Maria D Fatigati |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1235193111 PECOS PAC ID: 9436176971 Enrollment ID: I20051025000168 |
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