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NPI Code Detail

MEDICARE: MEREDITH DAVIES MONAHAN M.D.

MEDICARE: MEREDITH DAVIES MONAHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician042001098VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619933033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH DAVIES MONAHAN M.D.
Provider Business Mailing Address
First Line : 89 MAIN ST
Second Line :
City : ESSEX JCT
State : VT
Zip : 05452-3207
Country : US
Telephone Number : 802-879-6556
Fax Number : 802-872-8021
Provider Business Practice Location Address
First Line : 89 MAIN ST
Second Line :
City : ESSEX JCT
State : VT
Zip : 05452-3207
Country : US
Telephone Number : 802-879-6556
Fax Number : 802-872-8021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 05/09/2023

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