| NPI | 1710956552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM ROGGE Owner 802-442-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 04200093339) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 0420008933) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |