Georgia D Eltabbakh in South Burlington - Surgical
Georgia D Eltabbakh - NPI 1871589150
Georgia D Eltabbakh is a Surgical in South Burlington, Vermont. Georgia D Eltabbakh practices all healthcare services and medical treatments related to Surgical. The NPI Number for Georgia D Eltabbakh is 1871589150. The last update date is 2013-06-28.
Georgia D Eltabbakh's current location address is 1060 Hinesburg Rd, South Burlington, Vermont. You can contact this provider via phone number 8028599500 and fax number 8028599944. The mailing address for Georgia D Eltabbakh is 1060 Hinesburg Rd, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Georgia D Eltabbakh |
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Address | 1060 Hinesburg Rd, South Burlington, Vermont |
Phone Number | 8028599500 |
Fax Number | 8028599944 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1871589150 |
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Provider Enumeration Date | 2005-09-22 |
Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
Address | 1060 Hinesburg Rd |
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City | South Burlington |
State | Vermont (VT) |
Post Code | 54037612 |
Phone Number | 8028599500 |
Fax Number | 8028599944 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 550030657 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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90000398 | VT | -- |
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What is the unique 10-digit identifier code issued to Georgia D Eltabbakh by the Centers for Medicare & Medicaid Services?
The Georgia D Eltabbakh has been assigned the NPI (National Provider Identifier) 1871589150 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Georgia D Eltabbakh's facilities are situated?
The facilities of Georgia D Eltabbakh are physically located at the following address: 1060 Hinesburg Rd, South Burlington, VT, 54037612.
What is Georgia D Eltabbakh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgia D Eltabbakh's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did the Georgia D Eltabbakh receive the assignment of its 1871589150 from the Centers for Medicare & Medicaid Services?
The Georgia D Eltabbakh was issued its 1871589150 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details pertaining to Georgia D Eltabbakh last refreshed?
The information related to the Georgia D Eltabbakh, including its address, specialty, and other relevant details, was last updated on 2013-06-28.
NPI Number: 1104829308
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