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1629203559

NPI Code Detail

MEDICARE: DR. JULIE T VIETH MD

MEDICARE: DR. JULIE T VIETH MD

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	207P00000X	Emergency Medicine Physician	D74297	MD
2	207P00000X	Emergency Medicine Physician	MD040343	DC
3	207P00000X	Emergency Medicine Physician	276792	NY
4	207P00000X	Emergency Medicine Physician	042.0016172	VT

General Provider Information

NPI Number	:	1629203559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE T VIETH MD

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	:	802-847-2434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	02/09/2026

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Directions to “ DR. JULIE T VIETH MD” Practice Location

Language	Start Address	Practice Location

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