Patricia M Gavula in Berlin - Physician Assistant
Patricia M Gavula - NPI 1639198492
Patricia M Gavula is a Physician Assistant in Berlin, Vermont. Patricia M Gavula practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patricia M Gavula is 1639198492. The last update date is 2007-07-08.
Patricia M Gavula's current location address is 130 Fisher Rd, Berlin, Vermont. You can contact this provider via phone number 8023714100. The mailing address for Patricia M Gavula is 130 Fisher Rd, Berlin, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia M Gavula |
|---|---|
| Address | 130 Fisher Rd, Berlin, Vermont |
| Phone Number | 8023714100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1639198492 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 130 Fisher Rd |
|---|---|
| City | Berlin |
| State | Vermont (VT) |
| Post Code | 56029516 |
| Phone Number | 8023714100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 055-0030426 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900210 | VT | -- |
Post Comment/ Review Below
Could you please share the complete physical location address where Patricia M Gavula's facilities are situated?
The facilities of Patricia M Gavula are physically located at the following address: 130 Fisher Rd, Berlin, VT, 56029516.
What is Patricia M Gavula's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patricia M Gavula is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1639198492 assigned to Patricia M Gavula?
The Patricia M Gavula was issued its 1639198492 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Patricia M Gavula receive the assignment of its 1639198492 from the Centers for Medicare & Medicaid Services?
The Patricia M Gavula was issued its 1639198492 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information regarding Patricia M Gavula most recently updated?
The details pertaining to the Patricia M Gavula, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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