Individual
DR. WARREN MARK PELUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PARTON HC, MIDDLEBURY COLLEGE 5110, MIDDLEBURY, VT 05753
(804) 443-5135
(802) 443-2066
Mailing address
PARTON HC, MIDDLEBURY COLLEGE 5110, MIDDLEBURY, VT 05753
(804) 443-5135
(802) 443-2066
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
042-0010097
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-0010097
STATE MEDICAL LICENSE
VT
Enumeration date
03/07/2007
Last updated
07/08/2007
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