NPI 1669499430 · live from the CMS NPI Registry
Justine Gadd, PA
Physician Assistant in Berlin, VT. National Provider Identifier 1669499430, active.
NPI record
| NPI | 1669499430 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 246 Granger Rd, Suite 2, Berlin, VT 05602 |
| Practice phone | 802-225-5810 |
| Mailing address | Po Box 547, Central Vermont Medical Center - Finance Dept, Barre, VT 05641 |
| Enumerated | July 16, 2006 |
| Last updated | May 8, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 055-0030702 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.