Individual
MARTIN G CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
69 ALLEN ST, STE 8, RUTLAND, VT 05701-4564
(802) 773-7151
Mailing address
69 ALLEN ST, STE 8, RUTLAND, VT 05701-4564
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
056-0000146
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0351
—
VT
Enumeration date
06/13/2007
Last updated
03/02/2020
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