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Individual

RUTH FINGERHUT CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
368 RIVER ST, SPRINGFIELD, VT 05156-2242
(802) 886-2526
(802) 886-2225
Mailing address
PO BOX 710, SPRINGFIELD, VT 05156-0710
(802) 886-2526
(802) 886-2225

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030156
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008022
VT
Enumeration date
07/05/2006
Last updated
12/13/2011
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