NPI 1093577827

Green Mountain Dermatology PLLC

Organisation Dermatology Physician Colchester, VT

Practice location

Address: 354 Mountain View Dr, Colchester, VT 05446-5968
Phone: (802) 864-0192
Mailing address: 4700 Exchange CT STE 100, Boca Raton, FL 33431-4450

Authorised official

Name: Jennifer Haley
Title: Authorized Official
Phone: (561) 314-2000

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Vermont →

Registry record

NPI: 1093577827
Entity type: Organization
NPI issued: 26 Jan 2024
Record last updated: 11 Oct 2024

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.