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Dr. Jonathan T Fairbank, MD
Nuclear Radiology Physician in Burlington, Vermont
NPI 1184645814

Jonathan T Fairbank is a Nuclear Radiology Physician based in Charlotte, VT and is specialized in Nuclear Radiology. Jonathan T Fairbank practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Jonathan T Fairbank is 1184645814 and holds a License No. 042-0003761 (Vermont).

The current practice location address for Jonathan T Fairbank is 111 Colchester Ave, Burlington, VT and can be reached out via phone at 802-847-3592 and via fax at 802-847-4822.

Location: 111 Colchester Ave, Burlington, VT, 05445-9132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184645814
Provider Name
Jonathan T Fairbank
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave, Burlington, VT, 05445-9132
Phone Number
802-847-3592
Fax Number
802-847-4822
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4755 05 VT
institution
Provider Business Practice Location Address Details
Address
111 Colchester Ave
City
Burlington
State
Vermont
Zip
05401-1473
Phone Number
802-847-3592
Fax Number
802-847-4822
person
Provider Business Mailing Address Details
Address
111 Colchester Ave
City
Burlington
State
Vermont
Zip
05401-1473
Phone Number
802-847-3592
Fax Number
802-847-4822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
042-0003761 (Vermont)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
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