Individual
THOMAS EDWARD MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
57 CHESTNUT AVE, RUTLAND, VT 05701-3409
(802) 775-4000
(802) 775-5472
Mailing address
57 CHESTNUT AVE, RUTLAND, VT 05701-3409
(802) 775-4000
(802) 775-5472
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
420007175
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6185
—
VT
Enumeration date
07/06/2006
Last updated
07/08/2007
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