Provider Demographics
NPI:1134146970
Name:COELLO, ARMANDO J (MD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:J
Last Name:COELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORDIC LN
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-5321
Mailing Address - Country:US
Mailing Address - Phone:802-479-0830
Mailing Address - Fax:
Practice Address - Street 1:58 E VIEW LN
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5317
Practice Address - Country:US
Practice Address - Phone:802-223-0822
Practice Address - Fax:802-229-1353
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420004937207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0004460Medicaid
VTVT4460Medicare ID - Type Unspecified
VT0004460Medicaid
B85454Medicare UPIN