NPI 1366432478

Edward Joseph Laverty, PA

Practitioner Physician Assistant Newport, VT

Practice location

Address: 137 Main St STE 102, Newport, VT 05855-4415
Phone: (802) 995-2412
Fax: (802) 334-7991
Mailing address: 165 Sherman Dr, St Johnsbury, VT 05819-9811

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031605 (VT)

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Registry record

NPI: 1366432478
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2005
Record last updated: 26 Sep 2024

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.