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Individual

DR. THEODORE WENDELL MARCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
111 COLCHESTER AVE, ACC EAST PAVILION 5, BURLINGTON, VT 05401-1473
(802) 847-1158
Mailing address
234 LYMAN DR, WILLISTON, VT 05495-8865
(802) 878-8316

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
VT 042 0008686
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01385033
NY
05
0VN0575
VT
Enumeration date
08/04/2006
Last updated
07/09/2007
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