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Individual

DR. BENJAMIN WYATT FORBUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
VA MEDICAL CTR # 112, 215 NORTH MAIN STREET, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6262
Mailing address
VA MEDICAL CTR - DEPT OF SURGERY #112, 215 NORTH MAIN STREET, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6262

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12698
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0RE8547
VT
05
30205618
NH
Enumeration date
07/21/2006
Last updated
07/16/2007
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