Healthcare Provider Details

I. General information

NPI: 1346279296
Provider Name (Legal Business Name): VERMONT NEUROSURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MUSSEY ST
RUTLAND VT
05701-4843
US

IV. Provider business mailing address

231 MUSSEY ST
RUTLAND VT
05701-4843
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-1312
  • Fax: 802-775-0478
Mailing address:
  • Phone: 802-775-1312
  • Fax: 802-775-0478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH E CORBETT JR.
Title or Position: NEUROSURGEON
Credential: M.D.
Phone: 802-775-1312