NPI | 1689863227 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFRY BRIAN POTASH President 802-254-4947 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 0420009254) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |