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Alexander Blair

Family Medicine in Burlington, VT. Individual provider (NPI-1).

NPI number1568112753
StatusActive
Last updated in NPPESJun 15, 2025

Details

NPI
1568112753
Entity type
Individual (NPI-1)
Name
Alexander Blair
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2022
Certification date
Jun 15, 2025
Last updated
Jun 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042.0018578VTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

111 Colchester Ave
Burlington, VT 05401-1473

Phone 802-847-2345

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

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