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Individual

DR. DANIEL MARCO DAPOLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
91 MAIN ST, MIDDLEBURY, VT 05753
(802) 388-2811
(802) 388-8265
Mailing address
91 MAIN ST, MIDDLEBURY, VT 05753
(802) 388-2811
(802) 388-8265

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VT245
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18678
BLUE CROSS BLUE SHIELD
01
593022
MNP
Enumeration date
11/01/2006
Last updated
08/24/2012
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