IndividualActive
Jack Mayer, M.D., FAAP
NPI 1639136559 · Pediatric Adolescent Medicine Physician · Middlebury, VT
Provider details
- NPI number
- 1639136559
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., FAAP
- Sex
- Male
- License
- 042-0004728 (VT)
Practice location
44 Collins Dr
Suite 202
Middlebury, VT 05753-8528
Phone: (802) 388-1338
Fax: (802) 388-8244
Mailing address
44 Collins Dr
Middlebury, VT 05753-8528
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.