Individual
DR. GINO THAMAS TREVISANI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3330
Mailing address
585 S BAY CIR, COLCHESTER, VT 05446-3895
(802) 863-0044
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0420010341
VT
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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