Doctor Name: | EVAN MUSMAN |
NPI Number: | 1467598441 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 032-0000427 |
Business Practice Address: | One Kennedy Drive, Suite U-1 South Burlington, VT - 054037166 |
Business Phone Number: | 8028616100 |
Business Fax Number: | 8028616101 |
Mailing Address: | One Kennedy Drive, Suite U-1, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054037166 |
Phone Number: | 8028616100 |
Fax Number: | 8028616101 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 032-0000427 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |