Organization
GREEN MOUNTAIN INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GAVIN COTTER (PROVIDER/OWNER)
(207) 807-4452
Entity
Organization
Contact information
Practice address
69 ALLEN ST STE 8, RUTLAND, VT 05701-4564
(207) 807-4452
Mailing address
69 ALLEN ST STE 8, RUTLAND, VT 05701-4564
(207) 807-4452
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
07/10/2025
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