Green Mountain Dermatology Pllc
NPI #1093577827 in Colchester, Vermont
Provider Information
- NPI Number
- 1093577827
- Entity Type
- Organization
- Organization Name
- Green Mountain Dermatology Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Jan 26, 2024
- Last Updated
- Oct 11, 2024
Practice Location
- Address
- 354 MOUNTAIN VIEW DR
- City
- Colchester
- State
- Vermont
- ZIP Code
- 05446-5968
- Phone
- (802) 864-0192
Authorized Official
- Name
- JENNIFER HALEY, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (561) 314-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
Additional Practice Locations
2 Healey Ave
Plattsburgh, NY, 12901-2413
(802) 864-0192
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