Individual
CHARLOTTE CATHARINA TENEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, EAST PAVILION 5, BURLINGTON, VT 05401-1473
(802) 863-8618
Mailing address
111 COLCHESTER AVE, EAST PAVILION 5, BURLINGTON, VT 05401-1473
(802) 863-8618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RT1308
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0420011360
VT
207RP1001X
Pulmonary Disease Physician
Primary
042-0011360
VT
Other
Enumeration date
12/14/2006
Last updated
11/07/2013
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