Four Seasons Dermatology LLC

NPI #1790737393 in Colchester, Vermont

Provider Information

NPI Number: 1790737393
Entity Type: Organization
Organization Name: Four Seasons Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: May 16, 2006
Last Updated: Apr 28, 2022

Practice Location

Address: 354 MOUNTAIN VIEW DRIVE
Address 2: SUITE 300
City: Colchester
State: Vermont
ZIP Code: 05446-5988
Phone: (802) 864-0192

Authorized Official

Name: DR. STEVEN ROBERT PARTILO, MD
Title: MEMBER
Phone: (802) 864-0192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Plastic Surgery	208200000X
Dermatology	207N00000X	Primary

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