Provider Demographics
NPI:1265453906
Name:MILNE, JAMES R (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:MILNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:CVMC MEDICAL GROUP PRACTICES
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-371-5326
Mailing Address - Fax:802-371-5339
Practice Address - Street 1:266 FISHER RD STE 1
Practice Address - Street 2:ASSOCIATES IN PEDIATRICS
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9179
Practice Address - Country:US
Practice Address - Phone:802-371-5950
Practice Address - Fax:802-371-5951
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VT042-0005965208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0004719Medicaid
D03281Medicare UPIN
VT0004719Medicaid