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 |