Individual
NICOLAS R BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2613
Mailing address
44 S MAIN ST, P.O. BOX 2000, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
056-0000180
VT
213E00000X
Podiatrist
N006103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000171
MEDICARE
VT
05
—
1013269
—
VT
Enumeration date
09/27/2006
Last updated
04/21/2010
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