Individual
MARA V VIJUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 WASHINGTON HWY, MORRISVILLE, VT 05661-8652
(802) 888-5639
(802) 888-6040
Mailing address
PO BOX 749, MORRISVILLE, VT 05661-0749
(802) 851-8704
(802) 851-8716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009033
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03510794
—
NY
05
—
0VN1317
—
VT
Enumeration date
10/20/2005
Last updated
11/17/2021
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