| NPI | 1407828247 |
|---|---|
| Doing Business As | CHARLESTOWN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | THOMAS CRAWFORD CEO 802-885-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-11-05 |