Provider Demographics
NPI:1457570954
Name:CARRACINO, MARIA G (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:G
Last Name:CARRACINO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:55 MAIN ST.
Mailing Address - Street 2:SUITE 3 CHAMPLAIN OBSTETRICS & GYNECOLOGY
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452
Mailing Address - Country:US
Mailing Address - Phone:802-879-1802
Mailing Address - Fax:802-878-6131
Practice Address - Street 1:55 MAIN ST.
Practice Address - Street 2:SUITE 3 CHAMPLAIN OBSTETRICS & GYNECOLOGY
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452
Practice Address - Country:US
Practice Address - Phone:802-879-1802
Practice Address - Fax:802-878-6131
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2011-08-08
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Provider Licenses
StateLicense IDTaxonomies
VT042-0012266207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology