Individual
DR. PHIL ALLEN AITKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 TIMBER LN, SUITE C, SOUTH BURLINGTON, VT 05403-5201
(802) 652-0717
(802) 652-0798
Mailing address
55 TIMBER LN, SUITE C, SOUTH BURLINGTON, VT 05403-5201
(802) 652-0717
(802) 652-0798
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420005259
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004799
—
VT
01
—
17V300
MVP
—
01
—
19833
BLSH
—
Enumeration date
06/23/2006
Last updated
07/08/2007
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