MEDICARE: VERMONT ADULT PRIMARY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1265387278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERMONT ADULT PRIMARY CARE

Provider Business Mailing Address
First Line	:	105 N MAIN ST STE 202
Second Line	:
City	:	BARRE
State	:	VT
Zip	:	05641-3791
Country	:	US
Telephone Number	:	802-622-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N MAIN ST STE 202
Second Line	:
City	:	BARRE
State	:	VT
Zip	:	05641-3791
Country	:	US
Telephone Number	:	802-318-8531
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	JPLANTA TERESA AMBLO
Credential	:	MD
Telephone Number	:	802-318-8531

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “VERMONT ADULT PRIMARY CARE ” Practice Location

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