Active NPIIndividual provider

Dr. Prospero B Gogo Jr., MD

Internal Medicine, Interventional Cardiology in Burlington, Vermont

NPI Number1417949694
Practice location
111 Colchester Ave, Fletcher Allen Health Care - Cardiology, Burlington, VT 05401-1473
Fax
802-847-0429
Last updated
November 18, 2013

Prospero Barquero Gogo is an Internal Medicine, Interventional Cardiology based in Burlington, VT. Prospero Barquero Gogo practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Prospero Barquero Gogo is 1417949694 and holds a License No. 42-0010113 (VT). The current practice location address for Prospero Barquero Gogo is 111 Colchester Ave, Fletcher Allen Health Care - Cardiology, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-3602 and via fax at 802-847-0429.

Provider Profile Details

NPI Number
1417949694
Provider Name
Prospero Barquero Gogo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave, Fletcher Allen Health Care - Cardiology, Burlington, VT 05401-1473
Phone Number
802-847-3602
Fax Number
802-847-0429
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2005
Last Update Date
November 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave
Fletcher Allen Health Care - Cardiology
Burlington, VT 05401-1473
State
Vermont
Zip
05401-1473
Phone Number
802-847-3602
Fax Number
802-847-0429
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1063
Fletcher Allen Health Care
Burlington, VT 05402-1063
City
Burlington
State
VT
Zip
05402-1063
Phone Number
802-847-3602
Fax Number
802-847-0429

License Information

License Number (1)
42-0010113
License State (1)
VT
License Number (2)
42-0010113
License State (2)
VT
Taxonomy (2)
Internal Medicine, Interventional Cardiology · 207RI0011X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Prospero B Gogo Jr., MD?

The NPI number of Dr. Prospero B Gogo Jr., MD is 1417949694. It was assigned on August 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Prospero B Gogo Jr., MD?

Dr. Prospero B Gogo Jr., MD is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X), licensed in VT under license number 42-0010113.

Where does Dr. Prospero B Gogo Jr., MD practice?

The practice location is 111 Colchester Ave, Fletcher Allen Health Care - Cardiology, Burlington, VT 05401-1473. The office can be reached at 802-847-3602 (phone) or 802-847-0429 (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 1417949694 directly on the NPPES registry website.

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