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Individual

DANIEL A CHIDPUNGTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 SOUTH PROSPECT STREET, UHC CAMPUS 6TH FLOOR PSYCHIATRY, BURLINGTON, VT 05401-5505
(802) 847-4560
Mailing address
1 SOUTH PROSPECT STREET, UHC CAMPUS 6TH FLOOR PSYCHIATRY, BURLINGTON, VT 05401-5505
(802) 847-4560

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0012286
VT

Other

Enumeration date
07/29/2006
Last updated
11/17/2011
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