Eileen Doherty Fuller, MD
Family Medicine in Middlebury, Vermont
1679551071- Practice location
- 1330 Exchange St Ste 201, Middlebury, VT 05753-4464
- Phone
- 802-388-1500
- Fax
- 802-388-0441
- Last updated
- October 14, 2020
Eileen Doherty Fuller is a Family Medicine based in Middlebury, VT. Eileen Doherty Fuller practices in Middlebury, VT and has the professional credentials of MD. The NPI Number for Eileen Doherty Fuller is 1679551071 and holds a License No. 042-007267 (VT). The current practice location address for Eileen Doherty Fuller is 1330 Exchange St Ste 201, Middlebury, VT 05753-4464 and can be reached out via phone at 802-388-1500 and via fax at 802-388-0441.
Provider Profile Details
- NPI Number
- 1679551071
- Provider Name
- Eileen Doherty Fuller
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1330 Exchange St Ste 201, Middlebury, VT 05753-4464
- Phone Number
- 802-388-1500
- Fax Number
- 802-388-0441
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 5, 2006
- Last Update Date
- October 14, 2020
- Certification Date
- October 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1330 Exchange St Ste 201
Middlebury, VT 05753-4464 - City
- Middlebury
- State
- Vermont
- Zip
- 05753-4464
- Phone Number
- 802-388-1500
- Fax Number
- 802-388-0441
Provider Business Mailing Address Details
- Address
- 1330 Exchange St Ste 201
Middlebury, VT 05753-4464 - City
- Middlebury
- State
- VT
- Zip
- 05753-4464
- Phone Number
- 802-388-1500
- Fax Number
- 802-388-0441
License Information
- License Number
- 042-007267
- License State
- VT
- Taxonomy
- Family Medicine · 207Q00000X · 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 Eileen Doherty Fuller, MD?
The NPI number of Eileen Doherty Fuller, MD is 1679551071. It was assigned on January 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Eileen Doherty Fuller, MD?
Eileen Doherty Fuller, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 042-007267.
Where does Eileen Doherty Fuller, MD practice?
The practice location is 1330 Exchange St Ste 201, Middlebury, VT 05753-4464. The office can be reached at 802-388-1500 (phone) or 802-388-0441 (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 1679551071 directly on the NPPES registry website.