Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | BS4177879 | VT |
NPI | 1639323231 |
---|---|
Provider Name | Dr. John Nicholas Schullinger |
First Address | Woodstock, VT 05091-1013 |
Second Address | Woodstock, VT 05091-1013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 10/11/2008 |