Organization
VERMONT PHYSICIANS CLINIC
Active
Organization
VERMONT PHYSICIANS CLINIC
Active
Other names
GREEN MOUNTAIN CARDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E ROBERTELLO M.D. (PHYSICIAN)
(802) 773-1128
Entity
Organization
Contact information
Practice address
6 COMMONS ST, RUTLAND, VT 05701-4651
(802) 773-1128
(802) 773-8501
Mailing address
6 COMMONS ST, RUTLAND, VT 05701-4651
(802) 773-1128
(802) 773-8501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2263
—
VT
01
—
49292
BCBS
VT
Enumeration date
07/28/2006
Last updated
11/02/2007
Update your record
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