| NPI | 1336328152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAUM Chief Administator 802-253-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 0420009652) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |