Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Mansfield Obstetrics and Gynecology

Organization Obstetrics & Gynecology Physician · NPI 1245563584

Mt Mansfield Obstetrics and Gynecology is an Obstetrics & Gynecology Physician in South Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2009.

Licensed in
VT
In the registry since
2009

Practice location Address checks out

1775 Williston Rd Ste 220
South Burlington, VT 05403-6491
Phone: (802) 861-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 042-00007744 (VT)

Record details

NPI number1245563584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Till — President · (802) 899-2984
NPI enumeratedSeptember 17, 2009
Last updated in NPPESSeptember 17, 2009
Mailing address74 Foothills Dr, Jericho, VT 05465-2081

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