Organization
CENTRAL VERMONT CARDIOLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J. MACDONALD M.D. (PRESIDENT)
(802) 229-9524
Entity
Organization
Contact information
Practice address
130 FISHER RD, SUITE 2-1, BERLIN, VT 05602-9516
(802) 229-9524
Mailing address
130 FISHER RD, SUITE 2-1, BERLIN, VT 05602-9516
(802) 229-9524
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007274
—
VT
01
—
CB3446
RAIL ROAD MEDICARE
VT
Enumeration date
07/19/2006
Last updated
01/09/2008
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