IndividualActive
Tyler Wark, MD
NPI 1871085134 · Cardiovascular Disease Physician · Middlebury, VT
Provider details
- NPI number
- 1871085134
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP04290 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
115 Porter Dr
Middlebury, VT 05753-8629
Phone: (802) 388-4701
Approximate (ZIP-level) locationGet directions
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Additional practice locations (2)
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 793-2930Fax: (401) 793-2953
- 111 Colchester AveBurlington, VT 05401-1473Phone: (802) 847-4600Fax: (802) 847-2533
Registry dates
- Enumerated
- 2018-06-03
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.