Individual
DR. ABIY BERHIE AMBAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-9916
(802) 847-9644
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-9916
(802) 847-9644
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
042-0010578
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393355
—
NY
05
—
1009696
—
VT
Enumeration date
07/10/2006
Last updated
10/14/2013
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