Individual
TRACE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE # 311, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0014529
VT
207RC0000X
Cardiovascular Disease Physician
Primary
042-0014529
VT
Other
Enumeration date
04/04/2014
Last updated
01/13/2021
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