Provider Demographics
NPI:1093877730
Name:MUELLER, JOACHIM GEORG (MD)
Entity Type:Individual
Prefix:DR
First Name:JOACHIM
Middle Name:GEORG
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:CENTRAL VERMONT MEDICAL CENTER-FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-225-5660
Mailing Address - Fax:802-229-9533
Practice Address - Street 1:130 FISHER RD
Practice Address - Street 2:CARDIOLOGY MOB-A SUITE 2-1
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9516
Practice Address - Country:US
Practice Address - Phone:802-225-5660
Practice Address - Fax:802-229-9533
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0012085207RC0000X
VT0420012085207RC0001X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1018341Medicaid
VT1018341Medicaid
VT001900002Medicare PIN