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PAUL G. BOERMAN PC NPI 1861690075

NPI Profile

NPI: 1861690075
Provider Name: PAUL G. BOERMAN, PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
44 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403
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Phone: (802) 860-6725

PAUL G. BOERMAN, PC is an ambulatory surgical cliniccenter 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0160000990VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VT9446MEDICARE PIN
2U10327MEDICARE UPINVERMONT
30009446MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

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