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Edward Joseph Laverty, PA

Physician Assistant in Newport, VT. Individual provider (NPI-1).

NPI number1366432478
StatusActive
Last updated in NPPESSep 26, 2024

Details

NPI
1366432478
Entity type
Individual (NPI-1)
Name
Edward Joseph Laverty
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 28, 2005
Certification date
Sep 5, 2024
Last updated
Sep 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant055.0031605VTYes

Practice location

137 Main St Ste 102
Newport, VT 05855-4415

Phone 802-995-2412 · Fax 802-334-7991

Mailing address

165 Sherman Dr
St Johnsbury, VT 05819-9811

Phone 802-748-9405 · Fax 802-748-4540

Other practice locations

457 Railroad St
St Johnsbury, VT 05819-1643

Phone 802-633-6351

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Other Physician Assistant providers in Newport, VT

All 8 Physician Assistant providers in Newport · All 389 providers in Newport

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