Edward Joseph Laverty, PA

NPI #1366432478 in Newport, Vermont

Provider Information

NPI Number: 1366432478
Entity Type: Individual
Name: Edward Joseph Laverty, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 28, 2005
Last Updated: Sep 26, 2024

Practice Location

Address: 137 MAIN ST STE 102
City: Newport
State: Vermont
ZIP Code: 05855-4415
Phone: (802) 995-2412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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