Healthcare Provider Details

I. General information

NPI: 1720209216
Provider Name (Legal Business Name): JULIE ANN ALOSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 WILLISTON RD STE 108
SOUTH BURLINGTON VT
05403-6491
US

IV. Provider business mailing address

1775 WILLISTON RD STE 108
SOUTH BURLINGTON VT
05403-6491
US

V. Phone/Fax

Practice location:
  • Phone: 802-497-3370
  • Fax:
Mailing address:
  • Phone: 802-497-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number260112
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number260927
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number042.0016352
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: