NPI | 1518180314 |
---|---|
Doing Business As | RYDER BROOK PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SARAYU BALU Medical Director 802-888-2448 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: VT 042-0006455) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-06-26 |