Individual
JAMES VINCENT PICONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
137 MAIN ST STE 102, NEWPORT, VT 05855-4415
(802) 995-2412
(802) 334-7991
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
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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