Organization · Type 2 NPI
Lake Champlain Gynecologic Oncology, PC
Gynecologic Oncology Physician · South Burlington, VT
Practice location
1060 Hinesburg Rd, Suite 301
South Burlington, VT 05403-7612
Fax (802) 859-9944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
5 other providers at this address
- University of Vermont Medical CenterGeneral Practice Dentistry South Burlington, VT NPI 1295140754
- Angela DunklingDentist South Burlington, VT NPI 1770945339
- Gamal H. Eltabbakh, MDGynecologic Oncology Physician South Burlington, VT NPI 1467448787
- Georgia D. Eltabbakh, P.A.Medical Physician Assistant South Burlington, VT NPI 1871589150
- Janet Thomason Miccolo, DDSGeneral Practice Dentistry South Burlington, VT NPI 1891710794
About NPI 1164418455
Lake Champlain Gynecologic Oncology, PC's National Provider Identifier is 1164418455, issued on Sep 22, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in South Burlington, VT. The record was last updated on May 23, 2013.