Individual
G RICHARD DUNDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 DEWEY ST, BENNINGTON, VT 05201-5006
(802) 442-8164
(802) 442-4214
Mailing address
339 DEWEY ST, BENNINGTON, VT 05201-5006
(802) 442-8164
(802) 442-4214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42-005292
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-4550
—
VT
05
—
00361564
—
NY
01
—
11293
MOHAWK VALLEY HEALTH PLAN
—
01
—
4376789
CIGNA
—
01
—
5880241
AETNA
VT
Enumeration date
06/15/2006
Last updated
07/08/2007
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