| NPI | 1649746082 |
|---|---|
| Other Name | CHITTENDEN |
| Entity Type | Organization |
| Authorized Contact | STEPHEN BRADLEY MASON President 802-318-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |