Organization
SHERIDAN HEALTHCARE OF VERMONT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(954) 851-1758
Mailing address
PO BOX 744544, ATLANTA, GA 30374-4544
(954) 838-2371
(913) 242-6850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013060
—
VT
Enumeration date
07/16/2006
Last updated
09/18/2019
Update your record
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