NPI 1598278137

Green Mountain Plastic and Reconstructive Surgery

Organisation Plastic Surgery Physician Colchester, VT

Practice location

Address: 354 Mountain View Dr STE 300, Colchester, VT 05446-5988
Phone: (802) 864-0192
Fax: (802) 860-4919

Authorised official

Name: Donald R Laub
Title: Physician
Phone: (802) 598-9619

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 42-0008887 (VT)

Other Plastic Surgery providers in Vermont →

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 42-0008887 (VT)

Registry record

NPI: 1598278137
Entity type: Organization
NPI issued: 6 Nov 2017
Record last updated: 6 Nov 2017

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.