Organization
VERMONT PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN MUSMAN D.O. (PRESIDENT)
(802) 861-6100
Entity
Organization
Contact information
Practice address
1 KENNEDY DR STE U1, SOUTH BURLINGTON, VT 05403-7166
(802) 861-6100
(802) 861-6101
Mailing address
1 KENNEDY DR STE U1, SOUTH BURLINGTON, VT 05403-7166
(802) 861-6100
(802) 861-6101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
032-0000427
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3435
—
VT
01
—
59779
BC BS OF VT
VT
01
—
DE5743
RR MEDICARE
—
Enumeration date
01/26/2007
Last updated
03/05/2008
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