| NPI | 1487793352 |
|---|---|
| Doing Business As | MT ASCUTNEY HOSPITAL LADIES FIRST PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BONNIE S MARTANIUK Prov Ins Enroll COO Rd 802-674-7170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 703) |
| 207V00000X Obstetrics & Gynecology (Licence: VT 703) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-01-14 |