| Mario Hasaj, Llc | |
|
2643 Grafton Road Mario Hasaj, Llc Townshend VT 05353 | |
| (802) 221-0235 | |
| Not Available |
| Full Name | Mario Hasaj, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2643 Grafton Road, Townshend, Vermont |
| Authorized Official Name and Position | Mario J. Hasaj (PROPRIETOR) |
| Authorized Official Contact | 8022210235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Hasaj, Llc 2643 Grafton Road Mario Hasaj, Llc Townshend VT 05353 Ph: (802) 221-0235 | Mario Hasaj, Llc 2643 Grafton Road Mario Hasaj, Llc Townshend VT 05353 Ph: (802) 221-0235 |
| NPI Number | 1225302615 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225302615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042-0011143 (Vermont) | Primary |
Drift Mavyn Licsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 74 Grafton Rd., Townshend, VT 05353 Phone: 802-321-5066 Fax: 802-210-3972 |