DR. MANINDRA N GHOSH MD

Allergy and Immunology

Bennington, Vermont

Provider NPI: 1477598738

Provider Information:
DR. MANINDRA N GHOSH MD


Practice Location:
194 NORTH ST STE 7  BENNINGTON, VT 05201 US
Tel: 802-681-7985  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	VT	042-0004510

Other Provider Identifiers:

Issuer	Number	State	Type
	0004420	VT	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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