Organization
BENNINGTON CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM ROGGE MD (OWNER)
(802) 442-0800
Entity
Organization
Contact information
Practice address
140 HOSPITAL DRIVE, SUITE 312, BENNINGTON, VT 05201
(802) 442-0800
(802) 442-0212
Mailing address
PO BOX 946, BENNINGTON, VT 05201-0946
(802) 442-0800
(802) 442-0212
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0420008933
VT
207RC0000X
Cardiovascular Disease Physician
Primary
04200093339
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28634
BCBS
VT
01
—
CC5943
RAILROAD MEDICARE
—
05
—
OVN1276
—
VT
Enumeration date
03/15/2006
Last updated
08/22/2020
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