Individual
DR. KAREN MICHELLE CUSTODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
032.0134274
VT
207P00000X
Emergency Medicine Physician
338635
NY
207P00000X
Emergency Medicine Physician
OT019969
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
032.0134274
VT
390200000X
Student in an Organized Health Care Education/Training Program
R4289
NH
Other
Enumeration date
06/11/2020
Last updated
10/16/2025
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