Individual
DR. VADIM FAYNGERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, F.C.C.P.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47407
CO
207RP1001X
Pulmonary Disease Physician
Primary
47407
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027797
KAISER COMMERCIAL NUMBER
CO
05
—
33151849
—
CO
Enumeration date
09/29/2005
Last updated
06/02/2021
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