Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN ERIC FENTON, D.O.
Active Sole ProprietorDR. JONATHAN ERIC FENTON, D.O. is a Interventional Vascular Surgery healthcare provider located in WINOOSKI, Vermont. NPI 1689688632 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · WINOOSKI, VT
Registration Details
- NPI Number
- 1689688632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.021309145005 yrs)
- Last Updated
- Aug 18, 2015
- Licenses
-
032-0000356 (VT)032-0000356 (VT)032-0000356 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
321 MAIN STSUITE CWINOOSKI, VT, 054041335Browse VT providers · Browse ZIP 05404
- Phone
- 8028590000
- Fax
- 8028590005
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.