Active NPIIndividual provider

Dr. Maryellen C Antkowiak, MD

Internal Medicine in Burlington, Vermont

NPI Number1588836043
Practice location
111 Colchester Ave., Uvm Medical Center - Pulmonary & Critical Care Medicine, Burlington, VT 05401
Fax
802-847-2444
Last updated
June 15, 2015

Maryellen Cleary Antkowiak is an Internal Medicine based in Burlington, VT. Maryellen Cleary Antkowiak practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Maryellen Cleary Antkowiak is 1588836043 and holds a License No. 042-0012284 (VT). The current practice location address for Maryellen Cleary Antkowiak is 111 Colchester Ave., Uvm Medical Center - Pulmonary & Critical Care Medicine, Burlington, VT 05401 and can be reached out via phone at 802-847-1158 and via fax at 802-847-2444.

Provider Profile Details

NPI Number
1588836043
Provider Name
Maryellen Cleary Antkowiak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Colchester Ave., Uvm Medical Center - Pulmonary & Critical Care Medicine, Burlington, VT 05401
Phone Number
802-847-1158
Fax Number
802-847-2444
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2008
Last Update Date
June 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave.
Uvm Medical Center - Pulmonary & Critical Care Medicine
Burlington, VT 05401
State
Vermont
Zip
05401
Phone Number
802-847-1158
Fax Number
802-847-2444
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
111 Colchester Ave.
Uvm Medical Center - Pulmonary & Critical Care Medicine
Burlington, VT 05401
City
Burlington
State
VT
Zip
05401
Phone Number
802-847-1158
Fax Number
802-847-2444

License Information

License Number
042-0012284
License State
VT
Taxonomy
Internal Medicine · 207R00000X · 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. Maryellen C Antkowiak, MD?

The NPI number of Dr. Maryellen C Antkowiak, MD is 1588836043. It was assigned on March 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Maryellen C Antkowiak, MD?

Dr. Maryellen C Antkowiak, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VT under license number 042-0012284.

Where does Dr. Maryellen C Antkowiak, MD practice?

The practice location is 111 Colchester Ave., Uvm Medical Center - Pulmonary & Critical Care Medicine, Burlington, VT 05401. The office can be reached at 802-847-1158 (phone) or 802-847-2444 (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 1588836043 directly on the NPPES registry website.

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