NPI 1265692453

Beverly J. Roseberry, MD, PC

Organisation Family Medicine Physician Rutland, VT

Practice location

Address: 11 Commons St, Rutland, VT 05701-4652
Phone: (802) 779-0114
Fax: (802) 779-0123

Authorised official

Name: Beverly Jean Roseberry
Title: Owner
Phone: (802) 779-0114

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 042-0011545 (VT)

Other Family Medicine providers in Vermont →

Registry record

NPI: 1265692453
Entity type: Organization
NPI issued: 11 Jun 2008
Record last updated: 9 Oct 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.