Individual
P BRIAN MACHANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
156 N MAIN ST, SAINT ALBANS, VT 05478-1561
(802) 527-7787
(802) 527-0797
Mailing address
4601 MT PHILO RD, CHARLOTTE, VT 05445-9345
(802) 310-5634
(802) 527-0797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420008124
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1076
—
VT
01
—
P00147092
RAILROAD MEDICARE
VT
Enumeration date
06/02/2006
Last updated
05/16/2008
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