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NPI 1518059039 · live from the CMS NPI Registry

Green Mountain Radiology

Radiology, Diagnostic Radiology in Berlin, VT. National Provider Identifier 1518059039, active.

NPI record

NPI1518059039 Type 2 · organization
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location130 Fisher Rd, Central Vermont Hospital, Berlin, VT 05602
Practice phone802-371-4249
Mailing addressPo Box 660, Moretown, VT 05660
EnumeratedSeptember 29, 2006
Last updatedAugust 22, 2020
Authorized officialRobert Johnson, President

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.