NPI 1962728402 · live from the CMS NPI Registry
Lyle P. Gerety, MD
Anesthesiology in Burlington, VT. National Provider Identifier 1962728402, active.
NPI record
| NPI | 1962728402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 111 Colchester Ave, 111 Colchester Ave., Burlington, VT 05401 |
| Practice phone | 802-847-2415 |
| Mailing address | 111 Colchester Ave, Uvm Medical Center - Dept. Of Anesthesiology, Burlington, VT 05401 |
| Enumerated | April 8, 2010 |
| Last updated | August 7, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | A130375 (CA) |
| Anesthesiology primary | 207L00000X | 042.0013227 (VT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.