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John Eric Koella, M.D.

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

NPI number1942275771
StatusActive
Last updated in NPPESFeb 25, 2016

Details

NPI
1942275771
Entity type
Individual (NPI-1)
Name
John Eric Koella
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 23, 2006
Last updated
Feb 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042-0013372VTYes
207Q00000X Family Medicine200876NY

Practice location

1315 Hospital Dr
Northeastern Vt Regional Hospital
St Johnsbury, VT 05819-9210

Phone 802-748-8141 · Fax 802-748-4098

Mailing address

Po Box 905
Northeastern Vt Regional Hospital
St Johnsbury, VT 05819-0905

Phone 802-748-8141 · Fax 802-748-4098

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