Organization
CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S RAABE MD (CHIEF EXECUTIVE OFFICER)
(802) 862-6312
Entity
Organization
Contact information
Practice address
364 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403-6270
(802) 862-6312
(802) 658-3984
Mailing address
PO BOX 84, BRATTLEBORO, VT 05302-0084
(802) 862-6312
(802) 658-3984
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006200
—
VT
Enumeration date
04/20/2006
Last updated
11/09/2009
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