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Individual

PATRICK HEAGHNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Mailing address
PO BOX 461, JOHNSON, VT 05656-0461

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
042-0009083
VT
207R00000X
Internal Medicine Physician
042.0009083
VT
207R00000X
Internal Medicine Physician
Primary
0420009083
VT

Other

Enumeration date
10/05/2006
Last updated
02/21/2024
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