PAUL G. BOERMAN PC NPI 1861690075

NPI Information

PAUL G. BOERMAN, PC is an ambulatory surgical clinic center in South Burlington, VT. PAUL G. BOERMAN, PC NPI is 1861690075. The provider is registered as an organization entity type.

The provider's business location address is:

44 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403-204
Phone: (802) 860-6725
Fax: (802) 864-0277

The provider's authorized official is Paul G. Boerman .
The authorized official title is Owner and has the following contact phone number (802) 860-6725.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 7/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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