person
Tomas T. Ensalata, PA-C
Medical Physician Assistant in Rutland, Vermont
NPI 1215704416

Tomas T. Ensalata is a Medical Physician Assistant based in Vergennes, VT and is specialized in Medical. Tomas T. Ensalata practices in Rutland, VT and has the professional credentials of PA-C. The NPI Number for Tomas T. Ensalata is 1215704416 and holds a License No. 055.0031731 (Vermont).

The current practice location address for Tomas T. Ensalata is 8 Commons St, Rutland, VT and can be reached out via phone at 802-770-1805.

Location: 8 Commons St, Rutland, VT, 05491-8527
person
Provider Profile Details
NPI Number
1215704416
Provider Name
Tomas T. Ensalata
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8 Commons St, Rutland, VT, 05491-8527
Phone Number
802-770-1805
Fax Number
Provider Enumeration Date
12/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 Commons St
City
State
Zip
05701-4651
Phone Number
802-770-1805
Fax Number
person
Provider Business Mailing Address Details
Address
8 Commons St
City
State
Zip
05701-4651
Phone Number
802-770-1805
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
055.0031731 (Vermont)
Definition
Definition to come...
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