Lake Champlain Gynecologic Oncology, PC

NPI #1164418455 in South Burlington, Vermont

Provider Information

NPI Number: 1164418455
Entity Type: Organization
Organization Name: Lake Champlain Gynecologic Oncology, PC
Primary Specialty: Obstetrics & Gynecology - Gynecologic Oncology
Enumeration Date: Sep 22, 2005
Last Updated: May 23, 2013

Practice Location

Address: 1060 HINESBURG RD
Address 2: SUITE 301
City: South Burlington
State: Vermont
ZIP Code: 05403-7612
Phone: (802) 859-9500

Authorized Official

Name: DR. GAMAL H ELTABBAKH, M.D.
Title: PRESIDENT
Phone: (802) 859-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Gamal H Eltabbakh, M.D.	Obstetrics & Gynecology - Gynecologic Oncology	South Burlington	AI Deep Dive
Elise Newhall Everett, MD	Obstetrics & Gynecology - Gynecologic Oncology	Burlington	AI Deep Dive
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