Individual
MS. CHARLOTTE ANN REBACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Mailing address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009081
VT
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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