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Individual

NICHOLAS FERRENTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, FAHC, MCHV CAMPUS, ACC 5TH FLOOR, BURLINGTON, VT 05401-1473
(802) 847-2554
Mailing address
111 COLCHESTER AVE, MCHV CAMPUS, SMITH 251, BURLINGTON, VT 05401-1473
(802) 847-2554

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0420009319
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01668822
NY
05
OVN1389
VT
Enumeration date
09/23/2006
Last updated
10/04/2013
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