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Ethan Vandermark
NPI 1710389556 · on the registry since 2014 · sole proprietor
Practice
- Address
- 113 Market St
Apt. 2
Northampton, MA 01060 - Phone
- (603) 502-3714
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2014-10-17
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 Massachusetts