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Organization
NORTHERN VERMONT DERMATOLOGY, PLC
Active
Organization
NORTHERN VERMONT DERMATOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAWN NEIDER (OWNER)
(833) 688-3376
Entity
Organization
Contact information
Practice address
53 FAIRFAX RD STE 2, SAINT ALBANS, VT 05478-4405
(833) 688-3376
Mailing address
53 FAIRFAX RD STE 2, SAINT ALBANS, VT 05478-4405
(833) 688-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
0420013164
VT
Other
Enumeration date
06/29/2018
Last updated
11/23/2020
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