Whalio Doctors

NPI 1194019935

Bang Cao to, PHYSICIANASSISTANT

Practitioner Medical Physician Assistant Winooski, VT

Practice location

Address
32 Malletts Bay Avenue B, Winooski, VT 05404-1959
Phone
(802) 655-4422
Mailing address
32 Malletts Bay Ave B, Winooski, VT 05404-1960

Registered specialties (2)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 055.0031140 (VT)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 014738 (NY)

Registry record

NPI
1194019935
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2011
Record last updated
20 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.