Organization
FLETCHER ALLEN HEALTH CARE SPECIALTY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DESHAIES (CFO)
(802) 847-0000
Entity
Organization
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
PO BOX 1150, BURLINGTON, VT 05402-1150
(802) 847-1882
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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