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Individual

GEORGE A BROTHERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7220
(802) 674-7006
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7220
(802) 674-7006

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0030528
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0AP1057
VT
Enumeration date
09/15/2005
Last updated
07/08/2007
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