Individual
DR. DANIEL S RAABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 382-3443
(802) 388-5614
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 382-3443
(802) 388-5614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042-0005592
VT
207RC0000X
Cardiovascular Disease Physician
Primary
042-0005592
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004855
—
VT
05
—
00662597
—
NY
01
—
060026218
RR MEDICARE
VT
Enumeration date
05/01/2006
Last updated
10/25/2012
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