Healthcare Provider Details

I. General information

NPI: 1003883869
Provider Name (Legal Business Name): ERIC JAMES MARSH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALBERT CREE DR VERMONT ORTHPAEDIC CLINIC
RUTLAND VT
05701-4601
US

IV. Provider business mailing address

3 ALBERT CREE DR VERMONT ORTHPAEDIC CLINIC
RUTLAND VT
05701-4601
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-2937
  • Fax: 802-773-0934
Mailing address:
  • Phone: 802-775-2937
  • Fax: 802-773-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number042-0011132
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: