NPI 1700011673 · live from the CMS NPI Registry
Mariusz Paluch, MD
Radiology, Diagnostic Radiology in Brattleboro, VT. National Provider Identifier 1700011673, active.
NPI record
| NPI | 1700011673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 17 Belmont Ave, Brattleboro, VT 05301 |
| Practice phone | 603-650-4371 |
| Mailing address | 1 Medical Center Dr, Dhmc/Diagnostic Radiology, Lebanon, NH 03756 |
| Enumerated | May 21, 2009 |
| Last updated | August 28, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0012113 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.