Vitaly E Ermolin, MD
Internal Medicine in Weymouth, Massachusetts
1114901485- Practice location
- 55 Fogg RD, Weymouth, MA 02190-2432
- Phone
- 781-624-8000
- Fax
- 781-878-6750
- Last updated
- November 4, 2019
Vitaly E Ermolin is an Internal Medicine based in Weymouth, MA. Vitaly E Ermolin practices in Weymouth, MA and has the professional credentials of MD. The NPI Number for Vitaly E Ermolin is 1114901485 and holds a License No. 246085 (MA). The current practice location address for Vitaly E Ermolin is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000 and via fax at 781-878-6750.
Provider Profile Details
- NPI Number
- 1114901485
- Provider Name
- Vitaly E Ermolin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fogg RD, Weymouth, MA 02190-2432
- Phone Number
- 781-624-8000
- Fax Number
- 781-878-6750
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2005
- Last Update Date
- November 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fogg RD
Weymouth, MA 02190-2432 - City
- Weymouth
- State
- Massachusetts
- Zip
- 02190-2432
- Phone Number
- 781-624-8000
- Fax Number
- 781-878-6750
Provider Business Mailing Address Details
- Address
- 141 Longwater Dr Ste 201
Norwell, MA 02061-1620 - City
- Norwell
- State
- MA
- Zip
- 02061-1620
- Phone Number
- 781-792-4136
- Fax Number
- 781-878-6750
License Information
- License Number (1)
- 246085
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- ME 88741
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vitaly E Ermolin, MD?
The NPI number of Vitaly E Ermolin, MD is 1114901485. It was assigned on December 1, 2005 and is currently active in the NPPES registry.
What is the specialty of Vitaly E Ermolin, MD?
Vitaly E Ermolin, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 246085.
Where does Vitaly E Ermolin, MD practice?
The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (phone) or 781-878-6750 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114901485 directly on the NPPES registry website.