Organization
ROBERT J JAUCH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JAUCH (OFFICE MANAGER)
(802) 748-5126
Entity
Organization
Contact information
Practice address
714 BREEZY HILL RD, ST JOHNSBURY, VT 05819-8882
(802) 748-5126
(802) 748-1107
Mailing address
714 BREEZY HILL RD, ST JOHNSBURY, VT 05819-8882
(802) 748-5126
(802) 748-1107
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
420006154
VT
237600000X
Audiologist-Hearing Aid Fitter
008425846
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007982
—
VT
01
—
0100833Y0VT01
ANTHEM NEW HAMPSHIRE BLUE SHIELD
NH
01
—
04PO12
MVP
VT
01
—
0925477
CIGNA
VT
01
—
1047982
VERMONT BLUE CROSS & BLUE SHIELD
VT
05
—
99007982
—
NH
01
—
VT7982
MEDICARE
VT
Enumeration date
10/08/2008
Last updated
10/08/2008
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