Individual
ANNE VITALETTI-COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 WASHINGTON HWY, POB SUITE 1, MORRISVILLE, VT 05661-8715
(802) 888-8392
(802) 888-5536
Mailing address
347 UPPER HOLLOW RD, STOWE, VT 05672-4520
(802) 253-8735
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0420008983
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05V043
MVP
VT
01
—
19873
BLUE CROSS
VT
01
—
OVN1058
CIGNA
VT
05
—
OVN1058
—
VT
Enumeration date
07/17/2006
Last updated
07/08/2007
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