Individual
MR. BENJAMIN JOSEPH DEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
67 KENNEDY RD, CADYVILLE, NY 12918-3312
(518) 420-5565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0015342
VT
208M00000X
Hospitalist Physician
Primary
042-0015342
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
07/07/2021
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