Individual
DANIEL W FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DRIVE, BENNINGTON, VT 05201
(802) 447-5112
(802) 447-5108
Mailing address
PO BOX 8002, SALEM, NH 03079-8002
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0011368
VT
Other
Enumeration date
05/03/2006
Last updated
10/21/2014
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