Active NPIIndividual provider

Peter A Dale, MD

Internal Medicine in Berlin, Vermont

NPI Number1649266966
Practice location
130 Fisher RD, Mob-B Suite 3, Berlin, VT 05602-9516
Fax
802-225-5401
Last updated
December 4, 2014

Peter Allen Dale is an Internal Medicine based in Berlin, VT. Peter Allen Dale practices in Berlin, VT and has the professional credentials of MD. The NPI Number for Peter Allen Dale is 1649266966 and holds a License No. 0420007795 (VT). The current practice location address for Peter Allen Dale is 130 Fisher RD, Mob-B Suite 3, Berlin, VT 05602-9516 and can be reached out via phone at 802-225-5400 and via fax at 802-225-5401.

Provider Profile Details

NPI Number
1649266966
Provider Name
Peter Allen Dale
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
130 Fisher RD, Mob-B Suite 3, Berlin, VT 05602-9516
Phone Number
802-225-5400
Fax Number
802-225-5401
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2005
Last Update Date
December 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Fisher RD
Mob-B Suite 3
Berlin, VT 05602-9516
City
Berlin
State
Vermont
Zip
05602-9516
Phone Number
802-225-5400
Fax Number
802-225-5401
Berlin, VT 05602Get directions →

Provider Business Mailing Address Details

Address
Po Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
City
Barre
State
VT
Zip
05641-0547
Phone Number
802-225-5400
Fax Number
802-225-5401

License Information

License Number (1)
0420007795
License State (1)
VT
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
042.0007795
License State (2)
VT
Taxonomy (2)
Internal Medicine, Infectious Disease · 207RI0200X

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 Peter A Dale, MD?

The NPI number of Peter A Dale, MD is 1649266966. It was assigned on September 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Peter A Dale, MD?

Peter A Dale, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VT under license number 0420007795.

Where does Peter A Dale, MD practice?

The practice location is 130 Fisher RD, Mob-B Suite 3, Berlin, VT 05602-9516. The office can be reached at 802-225-5400 (phone) or 802-225-5401 (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 1649266966 directly on the NPPES registry website.

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