| Samuel R. Stoyak, M.d., Plc | |
|
43 Timber Ln South Burlington VT 05403-5201 | |
| (802) 448-3759 | |
| Not Available |
| Full Name | Samuel R. Stoyak, M.d., Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Timber Ln, South Burlington, Vermont |
| Authorized Official Name and Position | Samuel R. Stoyak (OWNER) |
| Authorized Official Contact | 8024483759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel R. Stoyak, M.d., Plc 43 Timber Ln South Burlington VT 05403-5201 Ph: (802) 448-3759 | Samuel R. Stoyak, M.d., Plc 43 Timber Ln South Burlington VT 05403-5201 Ph: (802) 448-3759 |
| NPI Number | 1144755455 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 3072883180 |
|---|---|
| Medicare Enrollment ID | O20170724000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144755455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042.0013430 (Vermont) | Primary |
| Provider Name | Samuel Stoyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588906994 PECOS PAC ID: 9436451010 Enrollment ID: I20160811000250 |
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