Individual
MARIA D FATIGATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 MAPLE LN, BARTON, VT 05822-9494
(802) 754-2112
Mailing address
46 LAKEMONT RD, NEWPORT, VT 05855-9690
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
420010948
VT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
042.0010948
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011893
—
VT
Enumeration date
04/17/2006
Last updated
01/30/2023
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