NPI 1679551071 · live from the CMS NPI Registry
Eileen Doherty Fuller, MD
Family Medicine in Middlebury, VT. National Provider Identifier 1679551071, active.
NPI record
| NPI | 1679551071 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1330 Exchange St Ste 201, Middlebury, VT 05753 |
| Practice phone | 802-388-1500 |
| Enumerated | January 5, 2006 |
| Last updated | October 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 042-007267 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.