Individual
CHARLES CORNELIUS EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701
(802) 775-7798
(802) 775-7762
Mailing address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420008781
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48181
BCBS
VT
05
—
OVN2913
—
VT
Enumeration date
09/15/2006
Last updated
07/08/2007
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