Provider Demographics
NPI:1932108743
Name:MCGINN, DANA FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:FRANCIS
Last Name:MCGINN
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 1:238 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6246
Mailing Address - Country:US
Mailing Address - Phone:802-257-5111
Mailing Address - Fax:802-254-0178
Practice Address - Street 1:238 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6246
Practice Address - Country:US
Practice Address - Phone:802-257-5111
Practice Address - Fax:802-254-0178
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0007090207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0005978Medicaid
VT00005978Medicare ID - Type Unspecified
VT0005978Medicaid