Provider Demographics
NPI:1396954871
Name:VOGEL, JULIE A (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-371-5961
Mailing Address - Fax:802-371-5960
Practice Address - Street 1:130 FISHER RD
Practice Address - Street 2:SUITE 1-4
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9516
Practice Address - Country:US
Practice Address - Phone:802-371-5961
Practice Address - Fax:802-371-5960
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-12-04
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Provider Licenses
StateLicense IDTaxonomies
MA231136207VG0400X
VT042.0011605207V00000X
VT0420011605207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1015221Medicaid
VT000162202Medicare PIN
Q71860Medicare UPIN