Individual
ESTELA VALERIAN OGISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
77 HOSPITAL AVE STE 110, NORTH ADAMS, MA 01247-2592
(413) 664-6736
(413) 664-7349
Mailing address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
042.0014908
VT
207W00000X
Ophthalmology Physician
Primary
151
MA
207W00000X
Ophthalmology Physician
213367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02166801
—
NY
Enumeration date
07/29/2005
Last updated
11/11/2020
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