Individual
JUSTINE GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
246 GRANGER RD, SUITE 2, BERLIN, VT 05602-9516
(802) 225-5810
(802) 371-4821
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-5810
(802) 371-4821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030702
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000196
—
VT
Enumeration date
07/16/2006
Last updated
05/08/2014
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