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Individual

THORNTON SQUIRE CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
368 RIVER STREET, SPRINGFIELD, VT 05156-2242
(802) 886-2526
(802) 886-2225
Mailing address
368 RIVER STREET, SPRINGFIELD, VT 05156-2242
(802) 886-2526
(802) 886-2225

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0007413
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002655
VT
05
30001422
NH
Enumeration date
06/27/2006
Last updated
11/20/2008
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