IndividualActive
Joseph Ravera, MD
NPI 1760794523 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Burlington, VT
Provider details
- NPI number
- 1760794523
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 042.0013810 (VT)
Specialties & taxonomies
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianPrimary207PP0204XLicense 042.0013810 (VT)
Allopathic & Osteopathic Physicians
Practice location
111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-2434
Fax: (802) 847-5963
Approximate (ZIP-level) locationGet directions
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.