Individual
LOUIS A. DINICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2420
(802) 728-2613
Mailing address
44 S MAIN ST, P.O. BOX 2000, RANDOLPH, VT 05060-1381
(802) 728-2420
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420005728
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004644
—
VT
Enumeration date
08/13/2006
Last updated
05/01/2014
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