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NPI Code Detail

MEDICARE: DR. AURASCH MOAVEN

MEDICARE: DR. AURASCH MOAVEN
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology Physician341865NY
3207R00000XInternal Medicine Physician042.0016070VT
4207RG0100XGastroenterology Physician042.0016070VT

General Provider Information

NPI Number : 1588124994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AURASCH MOAVEN
Provider Business Mailing Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-0000
Fax Number :
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 04/07/2026

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Directions to “ DR. AURASCH MOAVEN ” Practice Location

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