Individual
DR. GARY F ALSOFROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT. OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
187 SUMMIT ST, BURLINGTON, VT 05401-3931
(802) 847-3592
(802) 847-4822
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
042-0007582
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9557
—
VT
Enumeration date
07/21/2006
Last updated
07/08/2007
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