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Contact Information

ANTHONY B FAZZONE, MD
100 HOSPITAL DR.
SOUTHWESTERN VERMONT HEALTH CARE
BENNINGTON, VT05201
 Phone: 802-442-6361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ANTHONY B FAZZONE · (Male)

NPI Number 1841298742
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 01/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 12375
  • VT License # 042.0010702
  • NH Medicaid 30204515
Hospital affiliation(s)
  • NORTHWESTERN MEDICAL CENTER INC - (Acute Care)
    133 FAIRFIELD STREET
    SAINT ALBANS, VT 05478
  • SOUTHWESTERN VERMONT MEDICAL CENTER - (Acute Care)
    100 HOSPITAL DRIVE
    BENNINGTON, VT 05201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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