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Contact Information

KAREN M CUSTODIO, DO
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 802-847-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KAREN M CUSTODIO · (Female)

NPI # 1033734447
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/11/2020
Last updated 10/16/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NH License # R4289
  • NY License # 338635
  • PA License # OT019969
  • VT License # 032.0134274
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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