Wellformed AI

NPI 1013953793 · live from the CMS NPI Registry

Edward F. Elliott, M.D.

Radiology, Diagnostic Radiology in Brattleboro, VT. National Provider Identifier 1013953793, active.

NPI record

NPI1013953793 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location17 Belmont Ave, Brattleboro, VT 05301
Practice phone802-257-8820
Mailing address88 High St, Brattleboro, VT 05301
EnumeratedJune 21, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X01029450 (IN)
Radiology, Diagnostic Radiology primary2085R0202X0420008401 (VT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.