BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC

BENNINGTON, VT
NPI1568578656
Entity TypeOrganization
Authorized ContactTHEODORE L JOHNSON
Owner
802-442-2264
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-08-22
Last Update Date2011-10-04
Business Address
BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
194 NORTH STREET
BENNINGTON, VT 05201
Phone number: 802-442-2264
Mailing Address
BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
194 NORTH STREET
BENNINGTON, VT 05201
Phone number: 802-442-2264
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