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ROBERT S WILDIN, MD – NPI #1073586897
Clinical Genetics (M.D.)

NPI Profile for Dr ROBERT S WILDIN in BURLINGTON, VT.

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Contact Information

ROBERT S WILDIN, MD
111 COLCHESTER AVE
BURLINGTON, VT  05401-1473
 Phone: 802-847-0000
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

 207SG0201X
Indicates primary specialty

NPI Profile & details for ROBERT S WILDIN · (Male)

NPI # 1073586897
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M8801
  • OR License # MD20420
  • VT License # 042-0013813
  • ID Medicaid 002823400
  • OR Medicaid 085514
  • WA Medicaid 8140428
Hospital affiliation(s) Not Available
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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