IndividualActive
Rob Tatum
NPI 1366024143 · Vascular Surgery Physician · Burlington, VT
Provider details
- NPI number
- 1366024143
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MT232505 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-2345
Approximate (ZIP-level) locationGet directions
Mailing address
3401 N Broad St
Philadelphia, PA 19140-5189
Additional practice locations (1)
- 3401 N Broad StPhiladelphia, PA 19140-5189Phone: (202) 680-8859
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.