# LEONARD TREMBLAY, MD PLC

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

## Provider details

- **NPI number:** 1710170725
- **Authorized official:** DR. LEONARD TREMBLAY MD (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (802) 524-3215

## Contact information

- **Practice address:** 53 FAIRFAX RD, SAINT ALBANS, VT 05478-4405
- **Practice address phone:** (802) 524-3215
- **Practice address fax:** (802) 442-4778
- **Mailing address:** 53 FAIRFAX RD, SAINT ALBANS, VT 05478-4405
- **Mailing address phone:** (802) 524-3215
- **Mailing address fax:** (802) 442-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 06/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1014193 | — | VT |
| 01 | — | DH1206 | RAIL ROAD MEDICARE | VT |