Individual
DR. JONATHAN ERIC FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
321 MAIN ST, SUITE C, WINOOSKI, VT 05404-1335
(802) 859-0000
(802) 859-0005
Mailing address
321 MAIN ST, SUITE C, WINOOSKI, VT 05404-1335
(802) 859-0000
(802) 859-0005
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
032-0000356
VT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
032-0000356
VT
208VP0014X
Interventional Pain Medicine Physician
Primary
032-0000356
VT
Other
Enumeration date
07/27/2006
Last updated
08/18/2015
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