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Organization
TIMBER LANE ALLERGY & ASTHMA ASSOCIATES, PC
Active
Organization
TIMBER LANE ALLERGY & ASTHMA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F KENT JR. MD (PRESIDENT)
(802) 864-0294
Entity
Organization
Contact information
Practice address
53 TIMBER LN, SOUTH BURLINGTON, VT 05403-5201
(802) 864-0294
(802) 864-3779
Mailing address
53 TIMBER LN, SOUTH BURLINGTON, VT 05403-5201
(802) 864-0294
(802) 864-3779
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01398301
—
NY
05
—
0VN1324
—
VT
01
—
28818
BLUE CROSS BLUE SHIELD VT
VT
01
—
TOO2520
TRICARE
—
Enumeration date
06/14/2005
Last updated
08/22/2020
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