Organization
NORTHEAST NEUROLOGY SVC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIZWAN UL HAQ M.D. (MEMBER)
(802) 864-6669
Entity
Organization
Contact information
Practice address
595 DORSET ST, SUITE # 8, SOUTH BURLINGTON, VT 05403-6240
(802) 864-6669
(802) 864-6633
Mailing address
PO BOX 8407, ESSEX, VT 05451-8407
(802) 864-6669
(802) 864-6633
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1856
—
VT
Enumeration date
05/28/2007
Last updated
05/10/2008
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