Individual
TED VJ HOULE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819-9239
(802) 748-8126
(802) 748-2208
Mailing address
975 MORRILL RD, DANVILLE, VT 05828-9302
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0005295
VT
207W00000X
Ophthalmology Physician
5606
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VT4773
—
VT
05
—
30001133
—
NH
Enumeration date
09/21/2005
Last updated
07/08/2007
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