Individual
SUSAN BETTY CAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 FAIFIELD ST., ST. ALBANS, VT 05478
(802) 524-1223
(802) 524-1095
Mailing address
133 FAIFIELD ST., ST. ALBANS, VT 05478
(802) 524-1223
(802) 524-1095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52047141205
UT
2083X0100X
Occupational Medicine Physician
162694-1
NY
208D00000X
General Practice Physician
Primary
042.0013949
VT
208D00000X
General Practice Physician
DR.0073557
CO
Other
Enumeration date
09/20/2006
Last updated
06/28/2024
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