NPI 1285295154 · live from the CMS NPI Registry
Spencer Ciancola
Physician Assistant in Bennington, VT. National Provider Identifier 1285295154, active.
NPI record
| NPI | 1285295154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 140 Hospital Dr Ste 111, Bennington, VT 05201 |
| Practice phone | 802-440-4077 |
| Mailing address | 100 Hospital Dr, Bennington, VT 05201 |
| Enumerated | June 21, 2019 |
| Last updated | December 26, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 055.0031452 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.