OrganizationActive
Genesis Eldercare Physician Services LLC
NPI 1477576304 · Geriatric Medicine (Internal Medicine) Physician · Rutland, VT
Provider details
- NPI number
- 1477576304
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Eric Shapiro, Vp, Controller
- License
- 101-0025776 (VT)
Practice location
9 Haywood Ave
Mountain View Center
Rutland, VT 05701
Phone: (802) 775-0007
Fax: (802) 775-6895
Mailing address
Po Box 62946
Baltimore, MD 21264-2946
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.