Individual
DR. RICHARD B COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8200
(802) 847-8742
Mailing address
150 CRESCENT BEACH DR, BURLINGTON, VT 05408-2610
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004809
—
VT
05
—
00662148
—
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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