Individual
ANGELA THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5013
(802) 447-5619
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5013
(304) 710-9421
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042.0015462
VT
Other
Enumeration date
03/30/2016
Last updated
10/28/2021
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