Provider Demographics
NPI:1619502101
Name:FRENCH, DOUGLAS AARON (RN)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:AARON
Last Name:FRENCH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 STORY ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIDDLESEX
Mailing Address - State:VT
Mailing Address - Zip Code:05682
Mailing Address - Country:US
Mailing Address - Phone:781-831-1849
Mailing Address - Fax:
Practice Address - Street 1:130 FISHER ROAD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602
Practice Address - Country:US
Practice Address - Phone:802-371-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0032519207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine