Organization
CHAMPLAIN VALLEY FOOT & ANKLE, P.C.
Active
Organization
CHAMPLAIN VALLEY FOOT & ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOHN MERENA DPM (PRESIDENT)
(802) 879-7992
Entity
Organization
Contact information
Practice address
55 MAIN ST, STE 1, ESSEX JUNCTION, VT 05452-3191
(802) 879-7992
(802) 879-6969
Mailing address
55 MAIN ST, STE 1, ESSEX JUNCTION, VT 05452-3191
(802) 879-7992
(802) 879-6969
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
056-0000174
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3709
—
VT
01
—
5468501
FLETCHER ALLEN PREFERRED
VT
01
—
788692
MVP
VT
01
—
CHAM00068673
BC/BS
VT
Enumeration date
10/31/2006
Last updated
08/22/2020
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