NPI 1245563584

Mt Mansfield Obstetrics and Gynecology

Organisation Obstetrics & Gynecology Physician South Burlington, VT

Practice location

Address: 1775 Williston Rd Suite 220, South Burlington, VT 05403-6491
Phone: (802) 861-0200
Mailing address: 74 Foothills Dr, Jericho, VT 05465-2081

Authorised official

Name: George William Till
Title: President
Phone: (802) 899-2984

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 042-00007744 (VT)

Other Obstetrics & Gynecology providers in Vermont →

Registry record

NPI: 1245563584
Entity type: Organization
NPI issued: 17 Sep 2009
Record last updated: 17 Sep 2009

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.