Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | VT |
NPI | 1003840299 |
---|---|
Provider Name | Joseph Anthony Abate III |
First Address | South Burlington, VT 05403-7805 |
Second Address | Colchester, VT 05446-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0VN1618 | (05) | VT |
G15672 | (02) | VT |