Individual
DR. MARSHALL L LAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 TIMBERLANE, SOUTH BURLINGTON, VT 05403-7296
(802) 658-2320
(802) 863-6933
Mailing address
52 TIMBERLANE, SOUTH BURLINGTON, VT 05403-7296
(802) 658-2320
(802) 863-6933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26V022
MVP
VT
01
—
4763
BLUE CROSS BLUE SHIELD
VT
05
—
4763
—
VT
Enumeration date
07/28/2006
Last updated
07/08/2007
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