Individual
MS. AMY S BORGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
90 WASHINGTON ST, BARRE, VT 05641-4239
(802) 476-6696
(802) 476-6419
Mailing address
6092 VERMONT ROUTE 14, BROOKFIELD, VT 05036-9695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030098
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000223
—
VT
Enumeration date
05/17/2006
Last updated
04/26/2012
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