Individual
BANG CAO TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
32 MALLETTS BAY AVENUE, B, WINOOSKI, VT 05404-1959
(802) 655-4422
Mailing address
32 MALLETTS BAY AVE, B, WINOOSKI, VT 05404-1960
(802) 578-2312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014738
NY
363AM0700X
Medical Physician Assistant
Primary
055.0031140
VT
Other
Enumeration date
06/08/2011
Last updated
08/20/2025
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