TOMAS T. ENSALATA

RUTLAND, VT
NPI1215704416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VT  055.0031731)
Enumeration Date2023-12-07
Last Update Date2023-12-14
Business Address
TOMAS T. ENSALATA PA-C
8 COMMONS ST
RUTLAND, VT 05701-4651
Phone number: 802-770-1805
Mailing Address
TOMAS T. ENSALATA PA-C
1057 MAPLE ST
VERGENNES, VT 05491-8527
Phone number: 802-233-1447