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Organization

PAUL G. BOERMAN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL G. BOERMAN DDS (OWNER)
(802) 860-6725
Entity
Organization

Contact information

Practice address
44 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 860-6725
(802) 864-0277
Mailing address
44 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 860-6725
(802) 864-0277

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0160000990
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009446
VT
Enumeration date
07/10/2007
Last updated
07/10/2007
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