Active NPIOrganization

Green Mountain Dermatology PLLC

Dermatology in Colchester, Vermont

NPI Number1093577827
Practice location
354 Mountain View Dr, Colchester, VT 05446-5968
Fax
—
Last updated
October 11, 2024

Green Mountain Dermatology PLLC is a healthcare organization based in Colchester, VT. Green Mountain Dermatology PLLC practices in Colchester, VT. The NPI Number for Green Mountain Dermatology PLLC is 1093577827. The current practice location address for Green Mountain Dermatology PLLC is 354 Mountain View Dr, Colchester, VT 05446-5968 and can be reached out via phone at 802-864-0192.

Provider Profile Details

NPI Number
1093577827
Provider Name
Green Mountain Dermatology PLLC
Provider Entity Type
Organization
Address
354 Mountain View Dr, Colchester, VT 05446-5968
Phone Number
802-864-0192
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Jennifer Haley, MD · Authorized Official · 561-314-2000
Other Names
Four Seasons Dermatology (Doing Business As)
Provider Enumeration Date
January 26, 2024
Last Update Date
October 11, 2024
Certification Date
October 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 Mountain View Dr
Colchester, VT 05446-5968
State
Vermont
Zip
05446-5968
Phone Number
802-864-0192
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
4700 Exchange CT Ste 100
Boca Raton, FL 33431-4450
City
Boca Raton
State
FL
Zip
33431-4450
Phone Number
561-314-2000

License Information

Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Green Mountain Dermatology PLLC?

The NPI number of Green Mountain Dermatology PLLC is 1093577827. It was assigned on January 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Green Mountain Dermatology PLLC?

Green Mountain Dermatology PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Green Mountain Dermatology PLLC practice?

The practice location is 354 Mountain View Dr, Colchester, VT 05446-5968. The office can be reached at 802-864-0192 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093577827 directly on the NPPES registry website.

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