Organization
GREEN MOUNTAIN ORTHOPAEDIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M. MERIAM M.D. (PRESIDENT)
(802) 229-2663
Entity
Organization
Contact information
Practice address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
Mailing address
130 FISHER RD, BUILDING A, SUITE 2-2, BERLIN, VT 05602-9516
(802) 229-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6499280001
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009345
—
VT
05
—
30216639
—
NH
01
—
6499280001
MEDICARE PTAN
VT
Enumeration date
04/18/2006
Last updated
06/03/2015
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