Individual
DR. TERESA ANN FAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 FISHER ROAD, MOB-B SUITE 2-3, BERLIN, VT 05602-9522
(802) 225-1750
(802) 225-1733
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER INC-FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1750
(802) 225-1733
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0420011411
VT
390200000X
Student in an Organized Health Care Education/Training Program
060-0002965
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014060
—
VT
Enumeration date
03/26/2007
Last updated
12/09/2013
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