| NPI | 1639208903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C NICHOLSON Physician Owner 802-524-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420010190) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |