Individual
DR. VERONIKA JEDLOVSZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2036
(802) 772-1955
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2036
(802) 772-1955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042.0010259
VT
207RP1001X
Pulmonary Disease Physician
Primary
0420010259
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
042.0010259
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058564
BLUE SHIELD
VT
05
—
1008261
—
VT
01
—
110232103
RAILROAD MEDICARE
VT
01
—
110662
MVP
VT
01
—
8000220
LADIES FIRST
VT
Enumeration date
08/30/2006
Last updated
07/27/2021
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