Healthcare Provider Details

I. General information

NPI: 1598020273
Provider Name (Legal Business Name): TESS HELEN POLLINGER D.O,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MAHONEY AVE
RUTLAND VT
05701-4837
US

IV. Provider business mailing address

3 MAHONEY AVE
RUTLAND VT
05701-4837
US

V. Phone/Fax

Practice location:
  • Phone: 802-773-3553
  • Fax: 802-773-3845
Mailing address:
  • Phone: 802-773-3553
  • Fax: 802-773-3845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number291800
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: