Individual
MR. JAY BENJAMIN GINNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
135.0000026
VT
Other
Enumeration date
07/09/2014
Last updated
10/09/2014
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