Organization
CENTRAL VERMONT UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH ZAHM MD (OWNER)
(802) 476-6060
Entity
Organization
Contact information
Practice address
542 BARRE MONTPELIER RD, US RT 302, BARRE, VT 05641
(802) 476-6060
(802) 476-6767
Mailing address
PO BOX 278, MONTPELIER, VT 05601-0278
(802) 476-6060
(802) 476-6767
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0420006490
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009493
—
VT
01
—
CM5214
RAIL ROAD MEDICARE
—
Enumeration date
11/09/2005
Last updated
06/09/2008
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