Dr Robert S Fagelson, | |
15 Fairview St, Brattleboro, VT 05301-6629 | |
(802) 257-0557 | |
(802) 257-5460 |
Full Name | Dr Robert S Fagelson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 15 Fairview St, Brattleboro, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912944778 | NPI | - | NPPES |
00000406 | Medicaid | NH | |
0004764 | Medicaid | VT | |
GHI | Other | 0600870 | |
0105755Y0VT01 | Other | NH | ANTHEM |
200050974 | Other | MVP | |
2109499001 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | VT5482 (Vermont) | Secondary |
207Y00000X | Otolaryngology | VT5482 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Robert S Fagelson, 15 Fairview St, Brattleboro, VT 05301-6629 Ph: (802) 257-0557 | Dr Robert S Fagelson, 15 Fairview St, Brattleboro, VT 05301-6629 Ph: (802) 257-0557 |
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