Individual
MR. PETER JOHN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-4110
(802) 334-4113
Mailing address
81 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-4110
(802) 334-4113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420009856
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048005
BLUE SHIELD OF VERMONT
VT
01
—
0572880001
DME
VT
05
—
0VN2022
—
VT
01
—
160044758
RAILROAD MEDICARE
VT
05
—
30203331
—
NH
01
—
349689
MVP
VT
01
—
8000224
LADIES FIRST
VT
Enumeration date
11/01/2006
Last updated
04/30/2021
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