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Individual

GERALD MINGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE, MAIL STOP 320 FL, BURLINGTON, VT 05401-1473
(802) 847-2194
(802) 847-4937
Mailing address
111 COLCHESTER AVE, MAIL STOP 320 FL, BURLINGTON, VT 05401-1473
(802) 847-2194
(802) 847-4937

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
0420011293
VT
2088P0231X
Pediatric Urology Physician
255644
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02881001
NY
05
1013484
VT
05
30207298
NH
Enumeration date
10/03/2006
Last updated
04/14/2011
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