Individual
DR. JUSTIN KARLITZ-GRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 S MAIN ST, CVMC FAMILY MEDICINE-WATEBURY, WATERBURY, VT 05676-1519
(802) 244-7874
(802) 244-4106
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER-FINANCE DEPT, BARRE, VT 05641-0547
(802) 244-7874
(802) 244-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0011992
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001708701
MEDICARE PTAN LINKED TO CVMC MGP
VT
05
—
1017745
—
VT
Enumeration date
03/26/2007
Last updated
11/17/2023
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