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Individual

DR. LUIS A BAUZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Mailing address
71 ALLEN ST, STE 101, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0011290
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03890448
NY
05
1015069
VT
Enumeration date
04/28/2008
Last updated
11/18/2016
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