Lake Champlain Gynecologic Oncology, PC
Lake Champlain Gynecologic Oncology, PC is a Gynecologic Oncology Physician in South Burlington, Vermont. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1060 Hinesburg Rd Ste 301South Burlington, VT 05403-7612
Phone: (802) 859-9500
Fax: (802) 859-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1164418455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gamal Eltabbakh — President · (802) 859-9500 |
| NPI enumerated | September 22, 2005 |
| Last updated in NPPES | May 23, 2013 |
| Mailing address | 1060 Hinesburg Rd, Suite 301, South Burlington, VT 05403-7612 |