Individual provider · Type 1 NPI

Jonathan T. Fairbank, MD

Nuclear Radiology Physician · Burlington, VT

NPI number 1184645814 Active

Practice location

111 Colchester Ave, Dept. Of Radiology
Burlington, VT 05401-1473

Call (802) 847-3592 Map

Fax (802) 847-4822

Mailing address

283 Spear St
Charlotte, VT 05445-9132

Specialties and licenses

TaxonomyCodeLicense
Nuclear Radiology Physician Primary 2085N0904X042-0003761 (VT)

Nuclear Radiology Physician: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

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About NPI 1184645814

Jonathan T. Fairbank, MD's National Provider Identifier is 1184645814, issued on Jul 21, 2006. The primary taxonomy on file is Nuclear Radiology Physician (2085N0904X), and the practice location is in Burlington, VT. The record was last updated on Jul 8, 2007.