Champlain Valley Neurology

Organization Active NPI Specialist · South Burlington, VT

NPI 1447443239 · NPPES record last updated Aug 26, 2008

Key facts

NPI
1447443239
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
0420008669 (VT)
Legal business name
CHAMPLAIN VALLEY NEUROLOGY
Practice address
20 Kimball Ave
Suite 308
South Burlington, VT 05403-6840
Phone
(802) 660-2500
Fax
(802) 660-2770
NPI assigned
Aug 24, 2007
Organization subpart
No

Authorized official

Name
Dr. Geoffrey E Starr, M.D.
Title
M.D./Owner
Phone
(802) 660-2500

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 0420008669 VT Yes

Addresses

Primary practice location

20 Kimball Ave
Suite 308
South Burlington, VT 05403-6840

Mailing address

20 Kimball Ave
Suite 308
South Burlington, VT 05403-6840
Phone (802) 660-2500

Other identifiers

IdentifierTypeStateIssuer
1011736MedicaidVT

Other providers in South Burlington, VT

All providers in South Burlington, VT · Specialist in Vermont

Sources for this page

Verify at the official NPI Registry.