# CENTRAL VERMONT UROLOGY INC

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

## Provider details

- **NPI number:** 1780665471
- **Authorized official:** DR. MICHAEL JOSEPH ZAHM MD (OWNER)
- **Authorized official phone:** (802) 476-6060

## Contact information

- **Practice address:** 542 BARRE MONTPELIER RD, US RT 302, BARRE, VT 05641
- **Practice address phone:** (802) 476-6060
- **Practice address fax:** (802) 476-6767
- **Mailing address:** PO BOX 278, MONTPELIER, VT 05601-0278
- **Mailing address phone:** (802) 476-6060
- **Mailing address fax:** (802) 476-6767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0420006490 | VT | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 06/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009493 | — | VT |
| 01 | — | CM5214 | RAIL ROAD MEDICARE | — |