Individual
ERIC RICHMOND SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVENUE, EAST PAVILION 5, BURLINGTON, VT 05401
(802) 847-2884
(802) 847-6020
Mailing address
111 COLCHESTER AVENUE, BURLINGTON, VT 05401
(802) 847-2884
(802) 847-6020
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0420010146
VT
208800000X
Urology Physician
26588
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01786350
—
NY
05
—
0VN2503
—
VT
05
—
1023011517
—
IA
05
—
209143403
—
MO
01
—
37456
BLUE CROSS BLUE SHIELD
—
01
—
42143522520
JOHN DEERE
—
01
—
421435525
TRI-CARE GROUP NUMBER
—
01
—
71754
WELLMARK/BLUE CROSS/BLUE
IA
01
—
G87836
CALIFORNIA LIC
CA
Enumeration date
05/27/2005
Last updated
11/19/2014
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