Individual
ROBERT JOSEPH JAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 BREEZY HILL ROAD, SUITE A, ST JOHNSBURY, VT 05819
(802) 748-5126
(802) 748-1107
Mailing address
714 BREEZY HILL ROAD, SUITE A, ST JOHNSBURY, VT 05819
(802) 748-5126
(802) 748-1107
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
5870
NH
207Y00000X
Otolaryngology Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007982
—
VT
01
—
0100833Y0VT01
ANTHEM BLUE SHIELD
NH
01
—
04P012
MVP
—
01
—
1047982
VT BCBS
VT
05
—
99007982
—
NH
Enumeration date
09/25/2006
Last updated
07/08/2007
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