| NPI | 1346793726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DIMEOLA Medical Director 802-747-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: VT 032.0116156) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |