Organization
BEVERLY J. ROSEBERRY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY JEAN ROSEBERRY MD (OWNER)
(802) 779-0114
Entity
Organization
Contact information
Practice address
11 COMMONS ST, RUTLAND, VT 05701-4652
(802) 779-0114
(802) 779-0123
Mailing address
11 COMMONS ST, RUTLAND, VT 05701-4652
(802) 779-0114
(802) 779-0123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0011545
VT
Other
Enumeration date
06/11/2008
Last updated
10/09/2009
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