Organization
MARK A HEALEY MD PC
Active
Other names
Mountainview Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A HEALEY MD (OWNER)
(802) 658-5606
Entity
Organization
Contact information
Practice address
308 BLAKELY RD, SUITE 100, COLCHESTER, VT 05446-3901
(802) 658-5600
(802) 658-5605
Mailing address
308 BLAKELY RD, SUITE 100, COLCHESTER, VT 05446-3901
(802) 658-5600
(802) 658-5605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009516
—
VT
01
—
DD8475
RR MEDICARE
VT
Enumeration date
08/18/2005
Last updated
09/20/2011
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