Provider First Line Business Practice Location Address:
111 COLCHESTER AVENUE
Provider Second Line Business Practice Location Address:
UVM MEDICAL CENTER NEUROLOGY
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-862-5759
Provider Business Practice Location Address Fax Number:
802-658-0680
Provider Enumeration Date:
06/20/2012