| NPI | 1558885988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CAISE Office Manager 802-864-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0010014) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |