JONATHAN T FAIRBANK

BURLINGTON, VT
NPI1184645814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085N0904X 
(Licence: VT  042-0003761)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
Dr. JONATHAN T FAIRBANK MD
111 COLCHESTER AVE DEPT. OF RADIOLOGY
BURLINGTON, VT 05401-1473
Phone number: 802-847-3592
Mailing Address
Dr. JONATHAN T FAIRBANK MD
283 SPEAR ST
CHARLOTTE, VT 05445-9132
Phone number: 802-847-3592
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