Individual
JOHN VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 FISHER RD, SUITE 3, BERLIN, VT 05602-9516
(802) 225-5400
(802) 225-5401
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-5400
(802) 225-5401
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0420006462
VT
207RX0202X
Medical Oncology Physician
6462
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005170
—
VT
Enumeration date
09/23/2005
Last updated
12/04/2014
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