Provider Demographics
NPI:1346279296
Name:VERMONT NEUROSURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:VERMONT NEUROSURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:802-775-1312
Mailing Address - Street 1:231 MUSSEY ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4843
Mailing Address - Country:US
Mailing Address - Phone:802-775-1312
Mailing Address - Fax:802-775-0478
Practice Address - Street 1:231 MUSSEY ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4843
Practice Address - Country:US
Practice Address - Phone:802-775-1312
Practice Address - Fax:802-775-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center