Individual
JAMES RUSSELL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FISHER ROAD, CENTRAL VERMONT HOSPITAL, BARRE, VT 05401
(802) 371-4315
(802) 371-5352
Mailing address
1350 CROSSTOWN RD, BERLIN, VT 05602-9025
(802) 229-4411
(802) 371-4852
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0420005177
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004752
BS
VT
05
—
0004752
—
VT
Enumeration date
09/28/2006
Last updated
07/08/2007
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