Active NPIOrganization

Green Mountain Plastic And Reconstructive Surgery

Plastic Surgery in Colchester, Vermont

NPI Number1598278137
Practice location
354 Mountain View Dr Ste 300, Colchester, VT 05446-5988
Fax
802-860-4919
Last updated
November 6, 2017

Green Mountain Plastic And Reconstructive Surgery is a healthcare organization based in Colchester, VT. Green Mountain Plastic And Reconstructive Surgery practices in Colchester, VT. The NPI Number for Green Mountain Plastic And Reconstructive Surgery is 1598278137 and holds a License No. 42-0008887 (VT). The current practice location address for Green Mountain Plastic And Reconstructive Surgery is 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988 and can be reached out via phone at 802-864-0192 and via fax at 802-860-4919.

Provider Profile Details

NPI Number
1598278137
Provider Name
Green Mountain Plastic And Reconstructive Surgery
Provider Entity Type
Organization
Address
354 Mountain View Dr Ste 300, Colchester, VT 05446-5988
Phone Number
802-864-0192
Fax Number
802-860-4919
Primary Taxonomy
Plastic Surgery · 208200000X
Organization Subpart
No
Authorized Official
Dr. Donald R Laub, MD · Physician · 802-598-9619
Provider Enumeration Date
November 6, 2017
Last Update Date
November 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 Mountain View Dr Ste 300
Colchester, VT 05446-5988
State
Vermont
Zip
05446-5988
Phone Number
802-864-0192
Fax Number
802-860-4919
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
354 Mountain View Dr Ste 300
Colchester, VT 05446-5988
City
Colchester
State
VT
Zip
05446-5988
Phone Number
802-864-0192
Fax Number
802-860-4919

License Information

License Number (1)
42-0008887
License State (1)
VT
Taxonomy (1)
Plastic Surgery, Surgery of the Hand · 2082S0105X
License Number (2)
42-0008887
License State (2)
VT
Taxonomy (2)
Plastic Surgery · 208200000X · 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 Plastic And Reconstructive Surgery?

The NPI number of Green Mountain Plastic And Reconstructive Surgery is 1598278137. It was assigned on November 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Green Mountain Plastic And Reconstructive Surgery?

Green Mountain Plastic And Reconstructive Surgery is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in VT under license number 42-0008887.

Where does Green Mountain Plastic And Reconstructive Surgery practice?

The practice location is 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988. The office can be reached at 802-864-0192 (phone) or 802-860-4919 (fax).

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 1598278137 directly on the NPPES registry website.

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