TOMAS T. ENSALATA PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1215704416- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 8 COMMONS ST, RUTLAND, VT, 057014651
- Phone
- (802) 770-1805
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: VT #055.0031731