Individual
ROBERT ZELAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 CHURCH ST, SWANTON, VT 05488-1434
(802) 868-2454
(802) 868-2461
Mailing address
1862 HIGHGATE RD, ST ALBANS, VT 05478-8091
(802) 868-2454
(802) 868-2461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420006142
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002358
—
VT
01
—
00028916
BCBS
VT
Enumeration date
08/09/2005
Last updated
06/21/2010
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