Individual
MRS. JORDAN F TOLSTOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 COLCHESTER AVE, UVM MEDICAL CENTER-WOMEN'S HEALTH, BURLINGTON, VT 05401-1473
(802) 847-5800
Mailing address
111 COLCHESTER AVE, UVM MEDICAL CENTER-WOMEN'S HEALTH, BURLINGTON, VT 05401-1473
(802) 847-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000853
—
VT
Enumeration date
04/19/2016
Last updated
01/13/2017
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