| NPI | 1285823476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB A CAISE Business Office Manager 802-864-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420010949) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2010-02-25 |