Bertocci, Paul Vincent

Bertocci, Paul Vincent is an individual health care provider with primary practice located at 786 College Parkway Maple Leaf Treatment Center, Colchester VT 05446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bertocci, Paul Vincent can be contacted via phone (802) 899-2911.

Contact Information

Primary practice address
786 College Parkway Maple Leaf Treatment Center Colchester VT 05446
Fax: (802) 899-2327
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420005481 Vermont

Profile Details

NPI number 1841239514
LBN Legal business name Bertocci, Paul Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841239514 NPPES
Vermont MEDICAID 0004599

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