John Gerard Martell OPTOMETRIST

NPI 1093853160 - Optometrist - 152W00000X

NPI Details
NPI 1093853160
Gender Male
Enumeration Date 02/02/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
155 DORSET ST
UNIVERSITY MALL
SOUTH BURLINGTON VT, 05403-6346, US
Phone (802) 863-3062
Fax (802) 863-6100
Business Location
155 DORSET ST
UNIVERSITY MALL
SOUTH BURLINGTON VT, 05403-6346, US
Phone (802) 863-3062
Fax (802) 863-6100
Toxanomy
Taxonomy Code 152W00000X
License State Vermont
License Number 03000259
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According to our database, Dr. John Gerard Martell OPTOMETRIST NPI is 1093853160, taxonomy code is 152W00000X and license number is 03000259, license state is located at Vermont. John Gerard Martell OPTOMETRIST physically located at 155 Dorset St, South Burlington VT, 05403-6346. NPI Number John Gerard Martell OPTOMETRIST has the Individual type.

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1093853160 NPI number is provided on an as is basis without warranty of any kind. 1093853160 is maintained by the National Plan & Provider Enumeration System. The contents of John Gerard Martell OPTOMETRIST are for informational purposes only.