Individual
PATRICIA L. SEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 FARRELL ST STE 200, SOUTH BURLINGTON, VT 05403-6112
(802) 864-9522
(802) 859-8928
Mailing address
30 FARRELL ST STE 200, SOUTH BURLINGTON, VT 05403-6112
(802) 864-9522
(802) 859-8928
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042-0007898
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009366
—
VT
01
—
07V005
MVP PROVIDER ID #
—
01
—
47D0091232
CLIA #
—
01
—
SEAL00005199
BCBS OF VT PROVIDER ID#
—
Enumeration date
10/03/2006
Last updated
11/03/2008
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