| Neurology Micropractice, P.c. | |
|
73 Center St Rutland VT 05701-4046 | |
| (802) 775-7778 | |
| (802) 775-7775 |
| Full Name | Neurology Micropractice, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 73 Center St, Rutland, Vermont |
| Authorized Official Name and Position | Richard P Lango (PRESIDENT) |
| Authorized Official Contact | 8027757778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Micropractice, P.c. Po Box 912 Rutland VT 05702-0912 Ph: (802) 775-7778 | Neurology Micropractice, P.c. 73 Center St Rutland VT 05701-4046 Ph: (802) 775-7778 |
| NPI Number | 1043346471 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043346471 | NPI | - | NPPES |
| 1013330 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 042-0011271 (Vermont) | Primary |
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