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Organization
GREEN MOUNTAIN ORTHOPAEDIC SURGERY, PC
Active
Organization
GREEN MOUNTAIN ORTHOPAEDIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M. MERIAM M.D. (PRESIDENT)
(802) 229-2663
Entity
Organization
Contact information
Practice address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
Mailing address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6499280001
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009345
—
VT
05
—
30216639
—
NH
01
—
6499280001
MEDICARE PTAN
VT
Enumeration date
04/18/2006
Last updated
06/03/2015
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