Provider Demographics
NPI:1245257096
Name:YANOWITCH, GAIL SUSAN (MD)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:SUSAN
Last Name:YANOWITCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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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:802-371-5961
Mailing Address - Fax:802-371-5960
Practice Address - Street 1:130 FISHER RD STE 1-4
Practice Address - Street 2:CVMC WOMEN'S HEALTH
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9000
Practice Address - Country:US
Practice Address - Phone:802-371-5961
Practice Address - Fax:802-371-5960
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-08-21
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Provider Licenses
StateLicense IDTaxonomies
VT042-0008184207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0009788Medicaid
VT0009788Medicaid
VTY400235356Medicare PIN
VT0009788Medicaid