Beverly J. Roseberry, Md, Pc | |
11 Commons St Rutland VT 05701-4652 | |
(802) 779-0114 | |
(802) 779-0123 |
Full Name | Beverly J. Roseberry, Md, Pc |
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Speciality | Family Medicine |
Location | 11 Commons St, Rutland, Vermont |
Authorized Official Name and Position | Beverly Jean Roseberry (OWNER) |
Authorized Official Contact | 8027790114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beverly J. Roseberry, Md, Pc 11 Commons St Rutland VT 05701-4652 Ph: (802) 779-0114 | Beverly J. Roseberry, Md, Pc 11 Commons St Rutland VT 05701-4652 Ph: (802) 779-0114 |
NPI Number | 1265692453 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 10/09/2009 |
Identifier | Type | State | Issuer |
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1265692453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042-0011545 (Vermont) | Primary |
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