Organization
VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SZOSTAK (M.D.)
(802) 773-0566
Entity
Organization
Contact information
Practice address
28 EAST ST, RUTLAND, VT 05701-4127
(802) 773-0566
Mailing address
28 EAST ST, RUTLAND, VT 05701-4127
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
10/29/2007
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