Trudy Rumbaugh

Individual provider Active NPI Internal Medicine Physician · East Corinth, VT

NPI 1104128396 · NPPES record last updated Nov 22, 2010

Key facts

NPI
1104128396
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
G73354 (CA)
Practice address
1716 Page Hill Rd
East Corinth, VT 05040-9742
Phone
(802) 439-3184
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
G73354CAMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G73354 CA Yes

Addresses

Primary practice location

1716 Page Hill Rd
East Corinth, VT 05040-9742

Mailing address

1716 Page Hill Rd
East Corinth, VT 05040-9742

Other providers in East Corinth, VT

All providers in East Corinth, VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.