Healthcare Provider Details

I. General information

NPI: 1932108743
Provider Name (Legal Business Name): DANA FRANCIS MCGINN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 WESTERN AVE
BRATTLEBORO VT
05301-6246
US

IV. Provider business mailing address

238 WESTERN AVE
BRATTLEBORO VT
05301-6246
US

V. Phone/Fax

Practice location:
  • Phone: 802-257-5111
  • Fax: 802-254-0178
Mailing address:
  • Phone: 802-257-5111
  • Fax: 802-254-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number042-0007090
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: