| NPI | 1003455817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR J ESSWEIN Authorized Official 802-229-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |