John Ross Brooklyn in South Burlington - Addiction Medicine
John Ross Brooklyn - NPI 1588640635
John Ross Brooklyn is a Addiction Medicine in South Burlington, Vermont. John Ross Brooklyn practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John Ross Brooklyn is 1588640635. The last update date is 2016-08-22.
John Ross Brooklyn's current location address is 75 San Remo Dr, South Burlington, Vermont. You can contact this provider via phone number 8024887350. The mailing address for John Ross Brooklyn is 75 San Remo Dr, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ross Brooklyn |
|---|---|
| Address | 75 San Remo Dr, South Burlington, Vermont |
| Phone Number | 8024887350 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588640635 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2016-08-22 |
Provider Mailing Address Detail
| Address | 75 San Remo Dr |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54036385 |
| Phone Number | 8024887350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 042-0008256 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08V031 | VT | MVP | |
| 9674 | VT | -- | |
| 1554 | BLUE CROSS BLUE SHIELD | ||
| 1554 | VT | VERMONT MANAGED CARE | |
| 385701 | CIGNA | ||
| 9674 | TRICARE | ||
| 420008256 | VT | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Ross Brooklyn by the Centers for Medicare & Medicaid Services?
The John Ross Brooklyn has been issued the NPI (National Provider Identifier) 1588640635 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Ross Brooklyn is physically located?
The John Ross Brooklyn is physically situated at the following address: 75 San Remo Dr, South Burlington, VT, 54036385.
What is John Ross Brooklyn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Ross Brooklyn is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
When was the John Ross Brooklyn's 1588640635 issued?
The John Ross Brooklyn's 1588640635 was issued on 2005-12-21.
As of what date were the details pertaining to John Ross Brooklyn last refreshed?
The information related to the John Ross Brooklyn, including its address, specialty, and other relevant details, was last updated on 2016-08-22.