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Individual

CHARLES PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
1542 TULANE AVE RM 734B, NEW ORLEANS, LA 70112-2865
(401) 419-2464

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
042-0015351
VT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2015
Last updated
11/08/2021
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