Individual
ALLISON LEIGH WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
246 GRANGER RD STE 2, BERLIN, VT 05641-5352
(802) 225-5810
(802) 371-4821
Mailing address
130 FISHER RD UNIT 1, BERLIN, VT 05602-8132
(802) 371-4100
(716) 298-5896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032.0133794
VT
207Q00000X
Family Medicine Physician
269075
NY
207Q00000X
Family Medicine Physician
56329-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03809285
—
NY
05
—
1032312
—
VT
Enumeration date
04/22/2009
Last updated
07/08/2023
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