Healthcare Provider Details

I. General information

NPI: 1801891049
Provider Name (Legal Business Name): JANET Y HINZMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANET H FLANDREAU MD

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 HOSPITAL LOOP STE 2
BERLIN VT
05602-8496
US

IV. Provider business mailing address

286 HOSPITAL LOOP STE 2
BERLIN VT
05602-8496
US

V. Phone/Fax

Practice location:
  • Phone: 802-223-6169
  • Fax: 844-240-2519
Mailing address:
  • Phone: 802-223-6169
  • Fax: 844-240-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number042-0006588
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: