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NPI Code Detail

MEDICARE: CHAMPLAIN VALLEY FOOT & ANKLE, P.C.

MEDICARE: CHAMPLAIN VALLEY FOOT & ANKLE, P.C.
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
1213ES0131XFoot Surgery Podiatrist056-0000174VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15468501OTHERVTFLETCHER ALLEN PREFERRED
2CHAM00068673OTHERVTBC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4788692OTHERVTMVP

General Provider Information

NPI Number : 1366528259
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMPLAIN VALLEY FOOT & ANKLE, P.C.
Provider Business Mailing Address
First Line : 55 MAIN ST
Second Line : STE 1
City : ESSEX JUNCTION
State : VT
Zip : 05452-3191
Country : US
Telephone Number : 802-879-7992
Fax Number : 802-879-6969
Provider Business Practice Location Address
First Line : 55 MAIN ST
Second Line : STE 1
City : ESSEX JUNCTION
State : VT
Zip : 05452-3191
Country : US
Telephone Number : 802-879-7992
Fax Number : 802-879-6969
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN JOHN MERENA
Credential : DPM
Telephone Number : 802-879-7992
Provider Enumeration Date : 10/31/2006
Last Update Date : 08/22/2020

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Directions to “CHAMPLAIN VALLEY FOOT & ANKLE, P.C. ” Practice Location

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