| NPI | 1780702118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E. PERKINS Office Manager 802-786-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 0420008063) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |