Individual
EDWIN GONCHARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 COLCHESTER AVE, UVMMC, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
111 COLCHESTER AVE, UVMMC, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
032-0133900
VT
207RG0100X
Gastroenterology Physician
Primary
032-0133900
VT
207RG0100X
Gastroenterology Physician
330524
NY
208M00000X
Hospitalist Physician
032-0133900
VT
Other
Enumeration date
03/20/2017
Last updated
08/27/2025
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