Green Mountain Radiology

NPI #1518059039 in Berlin, Vermont

Provider Information

NPI Number
1518059039
Entity Type
Organization
Organization Name
Green Mountain Radiology
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Sep 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
130 FISHER RD
Address 2
CENTRAL VERMONT HOSPITAL
City
Berlin
State
Vermont
ZIP Code
05602-9516
Phone
(802) 371-4249

Authorized Official

Name
ROBERT DALE JOHNSON, M.D.
Title
PRESIDENT
Phone
(802) 371-4249

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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