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
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
Provider Enumeration Date 2005-09-22
Last Updated Date 2013-06-28

Provider Mailing Address Detail

Address 1060 Hinesburg Rd
City South Burlington
State Vermont (VT)
Post Code 54037612
Phone Number 8028599500
Fax Number 8028599944

Provider's Primary Taxonomy Detail

Speciality Surgical
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
90000398 VT --

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FAQs about Georgia D Eltabbakh

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.

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