Healthcare Provider Details

I. General information

NPI: 1538197868
Provider Name (Legal Business Name): ARMANDO CIAMPA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 WASHINGTON HWY
MORRISVILLE VT
05661-8973
US

IV. Provider business mailing address

528 WASHINGTON HWY
MORRISVILLE VT
05661
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-8343
  • Fax:
Mailing address:
  • Phone: 802-888-8343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number042.0010928
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: