Individual
DR. MARIE THERESE PAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701
(802) 775-7111
(802) 773-4480
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420010596
VT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME112105
FL
Other
Enumeration date
07/26/2006
Last updated
11/09/2018
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