# GERALD R SAPAROFF MD PC

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

## Provider details

- **NPI number:** 1689789240
- **Authorized official:** GERALD ROBIN SAPAROFF MD (PRESIDENT - OWNER)
- **Authorized official phone:** (802) 334-8002

## Contact information

- **Practice address:** 212 PROUTY DRIVE, SUITE 2, NEWPORT, VT 05855
- **Practice address phone:** (802) 334-8002
- **Practice address fax:** (802) 334-9136
- **Mailing address:** 212 PROUTY DRIVE, SUITE 2, NEWPORT, VT 05855
- **Mailing address phone:** (802) 334-8002
- **Mailing address fax:** (802) 334-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0420005731 | VT | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5351 | BLUE CROSS | VT |
| 05 | — | VT0005351 | — | VT |