NPI 1366469181 · live from the CMS NPI Registry
Andrea Hildebrand, MD
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1366469181, active.
NPI record
| NPI | 1366469181 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 | 566 Irish Hill Rd, Shelburne, VT 05482 |
| Enumerated | July 16, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 0420009658 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.