NPI 1902957020 · live from the CMS NPI Registry
Tina Marie D'Amato, D.O.
Family Medicine in South Burlington, VT. National Provider Identifier 1902957020, active.
NPI record
| NPI | 1902957020 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 75 San Remo Dr, 204, South Burlington, VT 05403 |
| Practice phone | 802-658-9440 |
| Enumerated | January 16, 2007 |
| Last updated | November 15, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 032-0000547 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.