| NPI | 1619169208 |
|---|---|
| Doing Business As | CHARLESTOWN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | THOMAS CRAWFORD CEO 802-885-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |