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NPI Code Detail

MEDICARE: VERMONT PHYSICIANS CLINIC

MEDICARE: VERMONT PHYSICIANS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1306881693
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERMONT PHYSICIANS CLINIC
Provider Business Mailing Address
First Line : 10 COMMONS ST
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4651
Country : US
Telephone Number : 802-747-3359
Fax Number : 802-786-5204
Provider Business Practice Location Address
First Line : 10 COMMONS ST
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4651
Country : US
Telephone Number : 802-747-3359
Fax Number : 802-786-5204
Authorized Official
Title or Position : SECRETARY
Name : MARSHA TODD
Credential :
Telephone Number : 802-747-3359
Provider Enumeration Date : 06/19/2006
Last Update Date : 08/22/2020

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Directions to “VERMONT PHYSICIANS CLINIC ” Practice Location

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