Individual
BARRY FUDIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 EASTERN AVE, ST JOHNSBURY, VT 05819-2762
(802) 748-2020
Mailing address
PO BOX 95, BARNET, VT 05821-0095
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091-0000172
VT
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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