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Individual

DR. LYLE P. GERETY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE, 111 COLCHESTER AVE., BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
111 COLCHESTER AVE, UVM MEDICAL CENTER - DEPT. OF ANESTHESIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0013227
VT
207L00000X
Anesthesiology Physician
A130375
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2010
Last updated
08/07/2015
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