Individual
TEIG D MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 MAIN ST, FAIRFAX, VT 05454-9530
(802) 849-2844
(802) 849-2644
Mailing address
1199 MAIN ST, FAIRFAX, VT 05454-9530
(802) 849-2844
(802) 849-2644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420007992
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009429
—
VT
Enumeration date
03/15/2006
Last updated
02/18/2011
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