# EMIL P. MISKOVSKY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528023116
- **Authorized official:** DR. EMIL P. MISKOVSKY M.D. (OWNER)
- **Authorized official phone:** (802) 442-4785

## Contact information

- **Practice address:** 140 HOSPITAL DR, SUITE 215, BENNINGTON, VT 05201-5009
- **Practice address phone:** (802) 442-4785
- **Mailing address:** 140 HOSPITAL DR, SUITE 215, BENNINGTON, VT 05201-5009
- **Mailing address phone:** (802) 442-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 06/13/2008