Healthcare Provider Details

I. General information

NPI: 1275632267
Provider Name (Legal Business Name): JOSEPH F WINGET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 DORSET ST SUITE 1
SOUTH BURLINGTON VT
05403-6270
US

IV. Provider business mailing address

PO BOX 84
BRATTLEBORO VT
05302-0084
US

V. Phone/Fax

Practice location:
  • Phone: 802-862-6312
  • Fax: 802-658-3984
Mailing address:
  • Phone: 800-243-5854
  • Fax: 206-824-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number042-0008001
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number042-0008001
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: