Joseph C Pelletier
Pediatrician
44 S Main St
Randolph
, Vermont 05060-1381
Joseph C Pelletier
Pediatrician
44 S Main St
Randolph
, Vermont 05060-1381
(802) 728-2394
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Joseph C Pelletier
- Po Box 2000 44 South Main Street
- Randolph, VT
- Zip : 05060-2000
- Fax : (802) 728-2394
- Phone : (802) 728-2420
Second Address
- Joseph C Pelletier
- 44 S Main St
- Randolph, VT
- Zip : 05060-1381
- Fax : (802) 728-2394
- Phone : (802) 728-2420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0420010598 | VT |
National Provider Identifier
| NPI | 1003828419 |
|---|---|
| Provider Name | Joseph C Pelletier |
| First Address | Randolph, VT 05060-2000 |
| Second Address | Randolph, VT 05060-1381 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 08/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1009801 | (05) | VT |
| H88791 | (02) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.