Individual
JEFFREY BARTON FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 527-0753
(802) 524-2695
Mailing address
3899 NORTH RD, FAIRFIELD, VT 05455-9656
(802) 827-3667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030897
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0AP1170
—
VT
Enumeration date
07/27/2006
Last updated
11/15/2010
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