| NPI | 1033835277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DOMININCA FATIGATI Owner 802-673-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |