NPI 1760656078

Jab INC

Organisation Urology Physician Burlington, VT

Practice location

Address: 64 Colchester Avenue, Burlington, VT 05401-1417
Phone: (802) 863-0107
Fax: (802) 658-9292
Mailing address: 33 Summit Ridge, Burlington, VT 05401-3911

Authorised official

Name: John a Bisson
Title: Owner
Phone: (802) 863-0107

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0420005559 (VT)

Other Urology providers in Vermont →

Registry record

NPI: 1760656078
Entity type: Organization
NPI issued: 17 Apr 2008
Record last updated: 17 Apr 2008

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.