MR. Grigorios Delaportas, P.A.

NPI #1023389418 in South Burlington, Vermont

Provider Information

NPI Number: 1023389418
Entity Type: Individual
Name: MR. Grigorios Delaportas, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 192 TILLEY DR
City: South Burlington
State: Vermont
ZIP Code: 05403-4440
Phone: (802) 847-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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