Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 042-0008878 | VT |
NPI | 1013928910 |
---|---|
Provider Name | Dr. Edward Francis Terrien |
First Address | Colchester, VT 05446-7474 |
Second Address | South Burlington, VT 05403-4407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01234564 | (05) | NY |
0VN1152 | (05) | VT |
E28517 | (02) |