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Organization
VERMONT UROGYNECOLOGY ASSOCIATES, PC
Active
Organization
VERMONT UROGYNECOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE VISELLI M.D. (OWNER)
(802) 872-7001
Entity
Organization
Contact information
Practice address
71 KNIGHT LN, SUITE 10, WILLISTON, VT 05495-4432
(802) 872-7001
Mailing address
71 KNIGHT LN, SUITE 10, WILLISTON, VT 05495-4432
(802) 872-7001
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011502
—
VT
01
—
DD6990
RAIL ROAD MEDICARE
VT
Enumeration date
05/22/2006
Last updated
01/09/2008
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