Organization
RETINA CENTER OF VERMONT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WEISSGOLD MD (MEDICAL DIRECTOR)
(802) 864-3937
Entity
Organization
Contact information
Practice address
99 SWIFT ST, SUITE 200, SOUTH BURLINGTON, VT 05403-7303
(802) 864-3937
(802) 864-3936
Mailing address
99 SWIFT ST, SUITE 200, SOUTH BURLINGTON, VT 05403-7303
(802) 864-3937
(802) 864-3936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011807
—
VT
Enumeration date
03/08/2007
Last updated
06/23/2011
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