Healthcare Provider Details

I. General information

NPI: 1962569897
Provider Name (Legal Business Name): MEDICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HOSPITAL DR SUITE 104
BENNINGTON VT
05201-5009
US

IV. Provider business mailing address

340 MAIN ST STE. 670
WORCESTER MA
01608-1604
US

V. Phone/Fax

Practice location:
  • Phone: 802-447-1536
  • Fax: 802-447-0996
Mailing address:
  • Phone: 508-754-3566
  • Fax: 508-798-8012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateVT

VIII. Authorized Official

Name: RONALD S MENSH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 802-447-1535