Individual
ROBERT E PRIMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420008428
VT
208000000X
Pediatrics Physician
0420008428
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0224
—
VT
01
—
E93123
MEDICARE UPIN NUMBER
VT
Enumeration date
04/17/2006
Last updated
07/20/2010
Update your record
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