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DTGC PC NPI 1003985821


NPI Information

NPI: 1003985821
Provider Name: DTGC, PC

Doing Business As: VERMONT DERMATOPATHOLOGY

Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 47D0986255

Address:
30 FARRELL ST
SUITE 202
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 658-6269
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DTGC, PC is a dermatopathology pathology in South Burlington, VT. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. DTGC, PC NPI is 1003985821. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vermont Dermatopathology.

The provider's business location address is:

30 FARRELL ST
SUITE 202
SOUTH BURLINGTON, VT
ZIP 05403-112
Phone: (802) 658-6269
Fax: (802) 860-4642

The provider's authorized official is Catherine Murer Antley .
The authorized official title is President and has the following contact phone number (802) 658-6269.

The CLIA number assigned to this NPI record is 47D0986255 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
2207ZD0900XPathologyDermatopathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OVN2726MEDICAIDVERMONT
2DTVN2726MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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