Individual
DR. JUSTIN R. KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4316
(802) 371-4579
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4316
(802) 371-4579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0012862
VT
2084P0800X
Psychiatry Physician
51706-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023012
—
VT
Enumeration date
09/06/2006
Last updated
05/27/2014
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