Individual
DR. RAYMOND LEO MARIANI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
142 WESTERN AVE, BRATTLEBORO, VT 05301-6101
(802) 257-7913
(802) 257-7913
Mailing address
142 WESTERN AVE, BRATTLEBORO, VT 05301-6101
(802) 257-7913
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MA1390
MA
213E00000X
Podiatrist
NH116
NH
213E00000X
Podiatrist
Primary
VT78
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008307
—
VT
05
—
0323934
—
VT
01
—
P00160777
RR MEDICARE
—
Enumeration date
09/29/2005
Last updated
07/08/2007
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