Individual
DR. BENJAMIN TATE SURATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC, PATRICK 204, BURLINGTON, VT 05401
(802) 656-8979
(802) 656-8989
Mailing address
6 DEER CROSSING LN, ESSEX JUNCTION, VT 05452-3410
(802) 656-8979
(802) 656-8989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0010401
VT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
042-0010401
VT
207RP1001X
Pulmonary Disease Physician
Primary
042-0010401
VT
Other
Enumeration date
08/21/2006
Last updated
06/11/2014
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