Individual
DR. SARAYU BALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 WASHINGTON HWY, MORRISVILLE, VT 05661-8652
(802) 888-7337
(802) 888-7398
Mailing address
PO BOX 608, RYDER BROOK PEDIATRICS, MORRISVILLE, VT 05661-0608
(802) 888-2448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0006455
VT
208000000X
Pediatrics Physician
Primary
042.0006455
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005114
PROVIDER NUMBER FOR OTHER
VT
05
—
0005114
—
VT
Enumeration date
04/10/2007
Last updated
03/23/2018
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