Provider Demographics
NPI:1770685638
Name:HOPKINS, WILLIAM EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:CARDIOLOGY UNIT, MCCLURE 1 (MCHV CAMPUS)
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-3655
Mailing Address - Fax:802-847-8818
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:CARDIOLOGY UNIT, MCCLURE 1 (MCHV CAMPUS)
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-3655
Practice Address - Fax:802-847-8818
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT420009096207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01566247Medicaid
VT0VN1148Medicaid
NY01566247Medicaid
HOVN1148Medicare ID - Type Unspecified