Organization
DENISE A. NIEMIRA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE AILEEN NIEMIRA M.D. (SOLE PROPRIETOR)
(802) 334-6140
Entity
Organization
Contact information
Practice address
5452 US ROUTE 5, STE. D, NEWPORT, VT 05855-9870
(802) 334-6140
(802) 334-8271
Mailing address
5452 US ROUTE 5, STE. D, NEWPORT, VT 05855-9870
(802) 334-6140
(802) 334-8271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000428
LADIES FIRST
VT
05
—
VT.0007973
—
VT
Enumeration date
10/03/2006
Last updated
08/22/2020
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