Organization
FLETCHER ALLEN HEALTH CARE-BLAIR PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL TAHERI MD (FACULTY PRACTICE PRESIDENT)
(802) 847-1882
Entity
Organization
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1600
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063
(802) 847-1882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
700
VT
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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