Organization
DTGC, PC
Active
Other names
Vermont Dermatopathology
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MURER ANTLEY MD (PRESIDENT)
(802) 658-6269
Entity
Organization
Contact information
Practice address
30 FARRELL ST, SUITE 202, SOUTH BURLINGTON, VT 05403-6112
(802) 658-6269
(802) 860-4642
Mailing address
30 FARRELL ST, SUITE 202, SOUTH BURLINGTON, VT 05403-6112
(802) 658-6269
(802) 860-4642
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2726
—
VT
Enumeration date
11/07/2006
Last updated
06/12/2012
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