Organization
CENTRAL VERMONT CARDIOLOGY ASSOCIATES INC.
Active
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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