Individual
DANIEL PATRICK MCCAULIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MAHONEY AVE, RUTLAND, VT 05701
(802) 773-3553
(802) 773-3845
Mailing address
3 MAHONEY AVE, RUTLAND, VT 05701
(802) 773-3553
(802) 773-3845
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0420010103
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2394
—
VT
01
—
49576
BLUE SHIELD
VT
Enumeration date
10/13/2006
Last updated
03/21/2011
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