Individual
DR. DANIEL DANTAS CORREA DE SA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, UVM MEDICAL CENTER - CARDIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-4600
(802) 847-2533
Mailing address
111 COLCHESTER AVE, UVM MEDICAL CENTER - CARDIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-4600
(802) 847-2533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50796
MN
207RC0000X
Cardiovascular Disease Physician
036132780
IL
207RC0000X
Cardiovascular Disease Physician
042.0013407
VT
207RC0001X
Clinical Cardiac Electrophysiology Physician
036132780
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
042.0013407
VT
Other
Enumeration date
04/10/2007
Last updated
08/03/2016
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