Organization
NEUROLOGICAL ASSOCIATES OF VT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ACKEL (PRACTICE MANAGER)
(802) 862-5759
Entity
Organization
Contact information
Practice address
89 S WILLIAMS ST, BURLINGTON, VT 05401-3405
(802) 862-5759
(802) 658-0680
Mailing address
89 S WILLIAMS ST, BURLINGTON, VT 05401-3405
(802) 862-5759
(802) 658-0680
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004695
BLUE CROSS BLUE SHIELD
VT
05
—
0004695
—
VT
Enumeration date
08/30/2006
Last updated
08/22/2020
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