Individual
MR. MICHAEL A D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8200
(802) 847-8742
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4488
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
420010871
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01958185
—
NY
05
—
1011059
—
VT
Enumeration date
07/10/2006
Last updated
10/04/2013
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