NPI 1164418455

Lake Champlain Gynecologic Oncology, PC

Organisation Gynecologic Oncology Physician South Burlington, VT

Practice location

Address: 1060 Hinesburg Rd Suite 301, South Burlington, VT 05403-7612
Phone: (802) 859-9500
Fax: (802) 859-9944

Authorised official

Name: Gamal H Eltabbakh
Title: President
Phone: (802) 859-9500

Registered specialties (3)

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X

Other Obstetrics & Gynecology providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1164418455
Entity type: Organization
NPI issued: 22 Sep 2005
Record last updated: 23 May 2013

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.