Provider Demographics
NPI:1477623346
Name:FRANKLIN COUNTY SURGICAL ASSOCIATES, P. C.
Entity type:Organization
Organization Name:FRANKLIN COUNTY SURGICAL ASSOCIATES, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALOMONE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:802-524-2779
Mailing Address - Street 1:53 FAIRFAX RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-4005
Mailing Address - Country:US
Mailing Address - Phone:802-524-2779
Mailing Address - Fax:802-524-6587
Practice Address - Street 1:53 FAIRFAX RD
Practice Address - Street 2:SUITE #2
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-4005
Practice Address - Country:US
Practice Address - Phone:802-524-2779
Practice Address - Fax:802-524-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN1498Medicaid
VTVN1498Medicare ID - Type Unspecified