Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | VT |
NPI | 1346263605 |
---|---|
Provider Name | Norman Paul Dupuis |
First Address | Morrisville, VT 05661-8755 |
Second Address | Burlington, VT 05401-3456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0AP1691 | (05) | VT |
P53931 | (02) |