Search › Vermont › 171100000X
Barry Fudim
NPI 1407312325 · on the registry since 2019 · sole proprietor
Practice
- Address
- 107 Eastern Ave
St Johnsbury, VT 05819 - Phone
- (802) 748-2020
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont