| NPI | 1154612877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FITZGERALD Owner 802-253-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |