Organization
MARA VIJUPS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA VIJUPS M.D. (PHYSICIAN OWNER)
(802) 524-6333
Entity
Organization
Contact information
Practice address
10 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-6333
(802) 524-2692
Mailing address
PO BOX 1332, WILLISTON, VT 05495-1332
(802) 524-8950
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1317
—
VT
Enumeration date
03/15/2007
Last updated
11/03/2008
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