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General NPI Number Information
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NPI Number | 1477549517
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Entity Type | Individual
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Provider Name | JOHN VALENTINE MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 130 FISHER RD SUITE 3
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City | BERLIN
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State | VT
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Zip | 05602-9516
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Country | US
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Telephone | 802-225-5400
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Fax | 802-225-5401
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Provider Business Mailing Address
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Address Line | PO BOX 547 CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
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City | BARRE
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State | VT
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Zip | 05641-0547
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Country | US
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Telephone | 802-225-5400
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Fax | 802-225-5401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 6462
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 0420006462
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License Number State | VT
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