Healthcare Provider Details

I. General information

NPI: 1871698019
Provider Name (Legal Business Name): DAGMAR HOEGEMANN SAVELLANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAGMAR HOEGEMANN M.D.

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

1 MEDICAL CENTER DR DH - RADIOLOGY
LEBANON NH
03756-1000
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number14601
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number042.0013003
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number340568
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: