Individual
ROBERTO B. ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 DUGWAY RD, RUTLAND, VT 05701-9819
(802) 775-1158
Mailing address
9 DUGWAY RD, RUTLAND, VT 05701-9819
(802) 775-1158
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
017953
ME
207P00000X
Emergency Medicine Physician
Primary
0420011703
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001441387
—
PA
05
—
1104850171
—
ME
Enumeration date
07/10/2006
Last updated
12/19/2013
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