Organization
NELSON S HAAS MD PC
Active
Other names
North Star Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON STUART HAAS M.D (MEDICAL DIRECTOR)
(802) 334-9300
Entity
Organization
Contact information
Practice address
1734 CRAWFORD FARM RD, NEWPORT, VT 05855-4509
(802) 334-9300
(802) 334-9299
Mailing address
1734 CRAWFORD FARM RD, NEWPORT, VT 05855-4509
(802) 334-9300
(802) 334-9299
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
042-0010304
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2803
—
VT
Enumeration date
07/09/2014
Last updated
07/09/2014
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