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Individual

DR. MANINDRA N GHOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
194 NORTH ST STE 7, BENNINGTON, VT 05201-1874
(802) 681-7985
(802) 753-7097
Mailing address
194 NORTH STREET, STE 7, BENNINGTON, VT 05201-1874
(802) 681-7985
(802) 753-7097

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
042-0004510
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004420
VT
Enumeration date
06/19/2006
Last updated
05/25/2021
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