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NPI Verification

National Provider Identifier: 1588836043

Maryellen Cleary Antkowiak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

111 COLCHESTER AVE.

UVM MEDICAL CENTER - PULMONARY & CRITICAL CARE MEDICINE

BURLINGTON, VT 05401

Phone: 802-847-1158

NPI Enumeration Date

March 25, 2008

NPI Number

1588836043

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry