Individual
DR. EITAN SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(573) 302-2241
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0011633
VT
208M00000X
Hospitalist Physician
2005018610
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01507533
—
NY
05
—
1015594
—
VT
05
—
207478603
—
MO
01
—
P00271468
RAILROAD MEDICARE
MO
Enumeration date
09/20/2005
Last updated
08/26/2016
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