Organization
VERMONT ORTHOPAEDIC IMAGING, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N. PAPPAS M.D. (MANAGER)
(802) 425-5141
Entity
Organization
Contact information
Practice address
609 STOCKBRIDGE RD, CHARLOTTE, VT 05445-9361
(802) 425-5141
(802) 425-5141
Mailing address
609 STOCKBRIDGE RD, CHARLOTTE, VT 05445-9361
(802) 425-5141
(802) 425-5141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0008961
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN3906
—
VT
01
—
VERM00069088
BLUE SHIELD
VT
Enumeration date
03/11/2007
Last updated
08/22/2020
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