Provider Demographics
NPI:1982043030
Name:ARESON, ROBERT CAMPBELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CAMPBELL
Last Name:ARESON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VT
Mailing Address - Zip Code:05477-4479
Mailing Address - Country:US
Mailing Address - Phone:802-434-4123
Mailing Address - Fax:802-434-3130
Practice Address - Street 1:30 W MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VT
Practice Address - Zip Code:05477-4479
Practice Address - Country:US
Practice Address - Phone:802-434-4123
Practice Address - Fax:802-434-3130
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0055689207Q00000X
VT042.0013789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine