NPI 1629066154 · live from the CMS NPI Registry
Jennifer Cerny Gage, MD
Anesthesiology in Burlington, VT. National Provider Identifier 1629066154, active.
NPI record
| NPI | 1629066154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-2415 |
| Mailing address | Po Box 36351, Southeast Anesthesiology Consultants PA, Charlotte, NC 28236 |
| Enumerated | October 10, 2005 |
| Last updated | December 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 9300390 (NC) |
| Anesthesiology primary | 207L00000X | 042.0014182 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.