Individual
DR. PAUL J MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 COLCHESTER AVE, BURLINGTON, VT 05401-1424
(802) 864-7483
(802) 660-4337
Mailing address
60 COLCHESTER AVE, BURLINGTON, VT 05401-1424
(802) 864-7483
(802) 660-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420004407
VT
207RG0100X
Gastroenterology Physician
Primary
0420004407
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004522
BLUE CROSS/BLUE SHIELD
VT
05
—
0004522
—
VT
Enumeration date
01/23/2006
Last updated
06/09/2008
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