Individual
PRISCILLA PAIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 HOSPITAL DR, BENNINGTON, VT 05201-5009
(802) 440-6089
Mailing address
100 HOSPITAL DR, BOX 44, BENNINGTON, VT 05201-5004
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042.0013188
VT
2084N0400X
Neurology Physician
17273
NH
2084N0400X
Neurology Physician
275054-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025109
—
VT
Enumeration date
07/19/2011
Last updated
12/02/2015
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