Individual
SUZANNE P. BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 767-3704
(802) 728-2394
Mailing address
PO BOX 2000, RANDOLPH, VT 05060-2000
(802) 767-3704
(802) 728-2394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030471
VT
Other
Enumeration date
08/21/2006
Last updated
01/28/2008
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