Individual
MR. PAUL BENJAMIN JERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3982
(802) 847-5963
Mailing address
Q6 GRANDVIEW DR, SOUTH BURLINGTON, VT 05403-7182
(802) 847-1237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000194
—
VT
Enumeration date
07/18/2006
Last updated
07/08/2007
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