Provider Demographics
NPI:1003455817
Name:ARTHUR J ESSWEIN
Entity Type:Organization
Organization Name:ARTHUR J ESSWEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESSWEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-229-9144
Mailing Address - Street 1:95 HOSPITAL LOOP
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BERLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8495
Mailing Address - Country:US
Mailing Address - Phone:802-229-9144
Mailing Address - Fax:802-223-1697
Practice Address - Street 1:95 HOSPITAL LOOP
Practice Address - Street 2:SUITE 7
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8495
Practice Address - Country:US
Practice Address - Phone:802-229-9144
Practice Address - Fax:802-223-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty