| NPI | 1538189865 |
|---|---|
| Doing Business As | PORTER HOSPITAL INC DBA MIDDLEBURY PEDIATRIC AND ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEVE CIAMPA CFO 802-388-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-07-25 |