Dr. Tina Marie D'Amato, D.O.
Family Medicine in South Burlington, VT. Individual provider (NPI-1).
NPI number1902957020
StatusActive
Last updated in NPPESNov 15, 2016
Details
- NPI
- 1902957020
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tina Marie D'Amato
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Nov 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 032-0000547 | VT | Yes |
Practice location
75 San Remo Dr204
South Burlington, VT 05403-6385
Phone 802-658-9440 · Fax 802-658-9443
Mailing address
75 San Remo Dr204
South Burlington, VT 05403-6385
Phone 802-658-9440 · Fax 802-658-9443
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