Macdonald, Gregory J

Macdonald, Gregory J is an individual health care provider with primary practice located at 130 Fisher Rd Mob- A Suite 2-1, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Macdonald, Gregory J can be contacted via phone (802) 225-5660.

Contact Information

Primary practice address
130 Fisher Rd Mob- A Suite 2-1 Berlin VT 05602-9516
Phone: (802) 225-5660
Fax: (802) 229-2533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042.0006170 Vermont
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 420006170 Vermont

Profile Details

NPI number 1386663094
LBN Legal business name Macdonald, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386663094 NPPES
Vermont MEDICAID 0004794
Vermont Other 060014974
Vermont Other P01125401

Popular Providers