Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 042-0008105 | VT |
NPI | 1053318766 |
---|---|
Provider Name | Dr. Paul Stephen Unger |
First Address | Colchester, VT 05446-3052 |
Second Address | Colchester, VT 05446-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009983 | (05) | VT |
E33398 | (02) | VT |