Individual
MARY E GADOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
23 SAN REMO DR, SUITE 101, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Mailing address
23 SAN REMO DR, SUITE 101, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020816-1
NY
174400000X
Specialist
Primary
040-0003314
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058693
BC/BS
VT
05
—
1012150
—
VT
01
—
385696
MVP
VT
01
—
OOO3314
VT MANAGED CARE
VT
Enumeration date
05/27/2006
Last updated
07/08/2007
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