# TELOS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639510787
- **Authorized official:** DR. EDWARD THOMAS MULHERN M.D. (MBR)
- **Authorized official phone:** (802) 365-4285

## Contact information

- **Practice address:** 152 GRAFTON ROAD, TOWNSHEND, VT 05353
- **Practice address phone:** (802) 365-4318
- **Mailing address:** PO BOX 308, TOWNSHEND, VT 05353-0308
- **Mailing address phone:** (802) 365-4318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0420012320 | VT | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 07/17/2013
