| NPI | 1730200494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD MCCORMICK Physician 802-775-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 42000-7175) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-05-15 |