Doctor Name: | MR. ROBERT E HEMOND |
NPI Number: | 1063430361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 55-0030728 |
Business Practice Address: | 192 Tilley Dr South Burlington, VT - 054034440 |
Business Phone Number: | 8028479005 |
Business Fax Number: | |
Mailing Address: | 192 Tilley Dr, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054034440 |
Phone Number: | 8028479005 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 55-0030728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |