Individual
MR. NELSON S HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1734 CRAWFORD FARM RD, NEWPORT, VT 05855-4509
(802) 334-4191
(802) 334-4193
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-4191
(802) 334-4193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420010304
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058439
BLUE SHIELD
VT
05
—
0VN2803
—
VT
01
—
740214
MVP
VT
Enumeration date
10/04/2006
Last updated
07/08/2007
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