Individual
ANDREA T FOSSATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420010281
VT
207RC0000X
Cardiovascular Disease Physician
042-0010281
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008594
—
VT
Enumeration date
12/14/2006
Last updated
04/17/2014
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