NPI 1336160159 · live from the CMS NPI Registry
Robert D'Agostino, MD
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1336160159, active.
NPI record
| NPI | 1336160159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401 |
| Practice phone | 802-847-3592 |
| Mailing address | 1222 Orchard Rd, Charlotte, VT 05445 |
| Enumerated | July 21, 2006 |
| Last updated | December 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0009300 (VT) |
| Radiology, Diagnostic Radiology | 2085R0202X | 176919 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.