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Organization
VERMONT INTERVENTIONAL SPINE CENTER
Active
Organization
VERMONT INTERVENTIONAL SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERE F BERRY MD (OFFICE MANAGER)
(802) 655-9798
Entity
Organization
Contact information
Practice address
356 MOUNTAIN VIEW DR, COLCHESTER, VT 05446-5985
(802) 658-9798
Mailing address
356 MOUNTAIN VIEW DR, SUITE 200, COLCHESTER, VT 05446
(802) 655-9798
(802) 655-0002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013828
—
VT
Enumeration date
05/21/2007
Last updated
05/11/2011
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