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Green Mountain Dermatology PLLC — NPI 1093577827, Colchester, VT | NPI Central

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NPI 1093577827

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Green Mountain Dermatology PLLC

NPI 1093577827 · Dermatology Physician · Colchester, VT

Provider details

NPI number: 1093577827
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jennifer Haley, Authorized Official(561) 314-2000

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

354 Mountain View Dr

Colchester, VT 05446-5968

Phone: (802) 864-0192

Approximate (ZIP-level) locationGet directions

More VT providers

Mailing address

4700 Exchange Ct Ste 100

Boca Raton, FL 33431-4450

Other names (DBA / former)

Doing business as: Four Seasons Dermatology

Additional practice locations (1)

2 Healey Ave
Plattsburgh, NY 12901-2413
Phone: (802) 864-0192

Registry dates

Enumerated: 2024-01-26
Last updated: 2024-10-11
Certified: 2024-10-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.