NPI | 1801394895 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN M HUGHES Practice Manager 802-772-1989 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2018-01-25 |
Last Update Date | 2019-06-20 |