Doctor Name: | TRACEY SUE MAURER |
NPI Number: | 1689698227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 042-0010177 |
Business Practice Address: | 353 Blair Park Rd Williston, VT - 054957530 |
Business Phone Number: | 8028471600 |
Business Fax Number: | |
Mailing Address: | 41 Alpine Dr, JERICHO |
State: | VT |
Postal Code: | 054652071 |
Phone Number: | 8028993697 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 042-0010177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |