Provider Demographics
NPI:1003883869
Name:MARSH, ERIC JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JAMES
Last Name:MARSH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3 ALBERT CREE DR
Mailing Address - Street 2:VERMONT ORTHPAEDIC CLINIC
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4601
Mailing Address - Country:US
Mailing Address - Phone:802-775-2937
Mailing Address - Fax:802-773-0934
Practice Address - Street 1:3 ALBERT CREE DR
Practice Address - Street 2:VERMONT ORTHPAEDIC CLINIC
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4601
Practice Address - Country:US
Practice Address - Phone:802-775-2937
Practice Address - Fax:802-773-0934
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2011-04-27
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Provider Licenses
StateLicense IDTaxonomies
VT042-0011132208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1012630Medicaid
VTVN402001Medicare PIN
VTI36117Medicare UPIN