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Organization
GREEN MOUNTAIN OB GYN PC
Active
Organization
GREEN MOUNTAIN OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE F ZDZIARSKI (BILLING MANAGER)
(802) 524-4036
Entity
Organization
Contact information
Practice address
12 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-5523
(802) 524-5438
Mailing address
12 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-5523
(802) 524-5438
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0821
—
VT
Enumeration date
01/12/2007
Last updated
02/26/2009
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