| NPI | 1902144405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C. STICKNEY President 802-773-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420004909) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |