Individual
JAMES VINCENT PICONE JR.
Active
Individual
JAMES VINCENT PICONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055-0030160
VT
363A00000X
Physician Assistant
055-0030225
VT
363AM0700X
Medical Physician Assistant
Primary
055.003.1432
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000216
—
VT
Enumeration date
07/19/2006
Last updated
09/23/2024
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