Healthcare Provider Details

I. General information

NPI: 1487743241
Provider Name (Legal Business Name): FRANK P. BUGGIANI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COMMONS ST
RUTLAND VT
05701
US

IV. Provider business mailing address

5 COMMONS ST
RUTLAND VT
05701
US

V. Phone/Fax

Practice location:
  • Phone: 802-773-8199
  • Fax: 802-773-7974
Mailing address:
  • Phone: 802-773-8199
  • Fax: 802-773-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0560000082
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: