Active NPIIndividual provider

Mark C Bisanzo, MD

Emergency Medicine in Burlington, Vermont

NPI Number1740249226
Practice location
111 Colchester Ave., Uvm Medical Center - Dept. Of Surgery/Ed, Burlington, VT 05401
Fax
802-847-4802
Last updated
May 22, 2020

Mark C. Bisanzo is an Emergency Medicine based in Burlington, VT. Mark C. Bisanzo practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Mark C. Bisanzo is 1740249226 and holds a License No. 042-0013299 (VT). The current practice location address for Mark C. Bisanzo is 111 Colchester Ave., Uvm Medical Center - Dept. Of Surgery/Ed, Burlington, VT 05401 and can be reached out via phone at 802-847-2434 and via fax at 802-847-4802.

Provider Profile Details

NPI Number
1740249226
Provider Name
Mark C. Bisanzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave., Uvm Medical Center - Dept. Of Surgery/Ed, Burlington, VT 05401
Phone Number
802-847-2434
Fax Number
802-847-4802
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2006
Last Update Date
May 22, 2020
Certification Date
May 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave.
Uvm Medical Center - Dept. Of Surgery/Ed
Burlington, VT 05401
State
Vermont
Zip
05401
Phone Number
802-847-2434
Fax Number
802-847-4802
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
111 Colchester Ave.
Uvm Medical Center - Dept. Of Surgery/Ed
Burlington, VT 05401
City
Burlington
State
VT
Zip
05401
Phone Number
802-847-2434
Fax Number
802-847-4802

License Information

License Number (1)
042-0013299
License State (1)
VT
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
44481
License State (2)
CT
Taxonomy (2)
Emergency Medicine · 207P00000X
License Number (3)
222871
License State (3)
MA
Taxonomy (3)
Internal Medicine · 207R00000X
License Number (4)
222871
License State (4)
MA
Taxonomy (4)
Emergency Medicine · 207P00000X · 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 Mark C Bisanzo, MD?

The NPI number of Mark C Bisanzo, MD is 1740249226. It was assigned on March 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark C Bisanzo, MD?

Mark C Bisanzo, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in VT under license number 042-0013299.

Where does Mark C Bisanzo, MD practice?

The practice location is 111 Colchester Ave., Uvm Medical Center - Dept. Of Surgery/Ed, Burlington, VT 05401. The office can be reached at 802-847-2434 (phone) or 802-847-4802 (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 1740249226 directly on the NPPES registry website.

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