Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 042.0011676 | VT |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 231394 | MA |
NPI | 1013136159 |
---|---|
Provider Name | Tamara Rimash |
First Address | Burlington, VT 05401-1473 |
Second Address | Burlington, VT 05401-1473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 22/09/2014 |