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Organization
SUSANNA THACH MD PLC
Active
Organization
SUSANNA THACH MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA BRADLEY THACH M.D. (PHYSICIAN/OWNER)
(314) 780-6582
Entity
Organization
Contact information
Practice address
43 TIMBER LN, SOUTH BURLINGTON, VT 05403-5201
(802) 860-3940
(802) 448-3765
Mailing address
43 TIMBER LN, SOUTH BURLINGTON, VT 05403-5201
(802) 495-0940
(802) 448-3765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
09/05/2025
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