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Organization

VERMONT ENT ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE BROWN (BILLING ADMIN)
(802) 257-0557
Entity
Organization

Contact information

Practice address
15 FAIRVIEW ST, BRATTLEBORO, VT 05301-6629
(802) 257-0557
(802) 257-5460
Mailing address
15 FAIRVIEW ST, BRATTLEBORO, VT 05301-6629
(802) 257-0557
(802) 257-5460

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
VT5482
VT
207Y00000X
Otolaryngology Physician
Primary
VT5482
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004589
VT
01
VERM00004589
BCBS
VT
Enumeration date
10/26/2007
Last updated
10/26/2007
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