=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326212804
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOUNTAIN VIEW BREAST CARE, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2008
-----------------------------------------------------
Last Update Date | 03/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1775 WILLISTON RD STE 108
-----------------------------------------------------
City | S BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05403-6491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-497-3370
-----------------------------------------------------
Fax | 802-497-3370
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1775 WILLISTON RD STE 108
-----------------------------------------------------
City | S BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05403-6491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-497-3370
-----------------------------------------------------
Fax | 802-497-0816
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | JULIE A ALOSI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 802-497-3370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------