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Individual

DR. TODD EDGAR HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, DIVISION OF DERMATOLOGY, WP-5, BURLINGTON, VT 05401-1473
(802) 847-4570
Mailing address
283 SPEAR ST, CHARLOTTE, VT 05445-9132

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
042-0011372
VT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
042-0011372
VT
207NS0135X
Procedural Dermatology Physician
042-0011372
VT

Other

Enumeration date
03/22/2007
Last updated
03/02/2015
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