| Mdf Geriatric Healthcare Pc | |
|
46 Lakemont Rd Newport VT 05855-9690 | |
| (802) 673-4916 | |
| Not Available |
| Full Name | Mdf Geriatric Healthcare Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 5395115877 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235193111 PECOS PAC ID: 9436176971 Enrollment ID: I20051025000168 |
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