NPI 1053983726

Integrated Wound Care Vermont PLLC

Organisation General Practice Physician Barre, VT

Practice location

Address: 100 N Main St STE 2, Barre, VT 05641-4150
Phone: (718) 705-6010
Mailing address: 492c Cedar Ln STE 514, Teaneck, NJ 07666-1713

Authorised official

Name: Diane Lusas
Title: Member
Phone: (718) 705-6010

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1053983726
Entity type: Organization
NPI issued: 13 Jul 2021
Record last updated: 13 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.