Provider Demographics
NPI:1982647889
Name:SARCHINO, WILLIAM J (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:SARCHINO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 DEWEY ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-2253
Mailing Address - Country:US
Mailing Address - Phone:802-442-2034
Mailing Address - Fax:802-442-2748
Practice Address - Street 1:343 DEWEY ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2253
Practice Address - Country:US
Practice Address - Phone:802-442-2034
Practice Address - Fax:802-442-2748
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT056-0000159213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01157666Medicaid
VT0VN2038Medicaid
NY01157666Medicaid
VT0VN2038Medicaid
NYT26734Medicare UPIN