Individual
DR. PETER M LOESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 SHIPPEE LANE, SHARON, VT 05065-0219
(802) 763-8000
(802) 763-8090
Mailing address
12 SHIPPEE LANE, SHARON HEALTH CENTER, SHARON, VT 05065-0219
(802) 763-8000
(802) 763-8090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0010473
VT
207QS0010X
Sports Medicine (Family Medicine) Physician
042-0010473
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009155
—
VT
05
—
8000077
—
VT
01
—
VN299401
MEDICARE PTAN
VT
Enumeration date
06/16/2005
Last updated
06/03/2010
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