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Organization

VERMONT RADIOLOGISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT SMITH MD (PRESIDENT)
(802) 748-3638
Entity
Organization

Contact information

Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7567
Mailing address
PO BOX 986520, DEPARTMENT 380, BOSTON, MA 02298-6520
(207) 784-2554
(207) 777-1439

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009188
VT
05
3102959
NH
Enumeration date
09/22/2006
Last updated
03/26/2024
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