Individual
AUSTIN D SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
244 GRANGER ROAD, BERLIN, VT 05602-9516
(802) 225-3942
(802) 225-3959
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-3942
(802) 225-3959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042-0011549
VT
207P00000X
Emergency Medicine Physician
242399
NY
207R00000X
Internal Medicine Physician
042.0011549
VT
2083X0100X
Occupational Medicine Physician
Primary
042.0011549
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018424
—
VT
Enumeration date
01/05/2007
Last updated
01/06/2024
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