Provider First Line Business Practice Location Address:
111 COLCHESTER AVE.
Provider Second Line Business Practice Location Address:
UVM MEDICAL CENTER, SURGERY/ED
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-2434
Provider Business Practice Location Address Fax Number:
802-847-4802
Provider Enumeration Date:
05/20/2010