Individual
DR. TIMOTHY JAMES FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, PATRICK 5, BURLINGTON, VT 05401-1473
(802) 847-2788
Mailing address
18 SOUTHWIND DR, BURLINGTON, VT 05401-5467
(802) 363-4899
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0420007459
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006495
—
VT
Enumeration date
07/25/2006
Last updated
07/08/2007
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