Individual
DR. JOHN P MINADEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-1057
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-1057
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0420009709
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1915
—
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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