Timber Lane Allergy & Asthma Associates, Pc
Allergy & Immunology Physician in South Burlington, VT(View on Map)
Legal Business Name
Timber Lane Allergy & Asthma Associates, Pc
NPI Number
1457356818
NPI Type
Organization
Enumeration Date
06/14/2005
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
53 TIMBER LN
53 TIMBER LN
City
South Burlington
South Burlington
State
VT
VT
Postal Code
05403-5201
05403-5201
Country
US
US
Telephone Number
(802) 864-0294
(802) 864-0294
Authorized Official
Name
Dr. Edward Kent
Title or Position
PRESIDENT
Telephone Number
(802) 864-0294
Identifiers
Identifier
01398301
0VN1324
TOO2520
28818
Identifier State
NY
VT
Unknown
VT
Identifier Issuer
Unknown
Unknown
TRICARE
BLUE CROSS BLUE SHIELD VT
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020