NPIMap

Associates in Gastroenterology, PC

Organization Active NPI Gastroenterology Physician · Burlington, VT

NPI 1417065178 · NPPES record last updated Aug 5, 2008

Key facts

NPI
1417065178
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
ASSOCIATES IN GASTROENTEROLOGY, PC
Practice address
60 Colchester Ave
Burlington, VT 05401-1424
Phone
(802) 864-7483
Fax
(802) 660-4337
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

Name
Dr. Paul J Mayer, M.D.
Title
President
Phone
(802) 864-7483

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Jacek Mysior, M.D. Gastroenterology Physician · Colchester, VT · NPI 1811206246
    NPD (past) GASTROENTEROLOGY

National Provider Directory

Locations

875 Roosevelt Hwy
Ste 132
Colchester, VT 05446
Phone (802) 864-7483

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

60 Colchester Ave
Burlington, VT 05401-1424

Mailing address

60 Colchester Ave
Burlington, VT 05401-1424
Phone (802) 864-7483

Other identifiers

IdentifierTypeStateIssuer
00008384OtherVTBLUE CROSS/BLUE SHIELD
0009784MedicaidVT

Other names

  • Associates in Gastroenterology Doing business as

Other providers in Burlington, VT

All providers in Burlington, VT · Gastroenterology Physician in Vermont

Sources for this page

Verify at the official NPI Registry.