Green Mountain Family Practice
NPI #1194701623 in Northfield, Vermont
Provider Information
- NPI Number
- 1194701623
- Entity Type
- Organization
- Organization Name
- Green Mountain Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 63 CRESCENT AVE
- City
- Northfield
- State
- Vermont
- ZIP Code
- 05663-5704
- Phone
- (802) 485-4161
Authorized Official
- Name
- CRAIG DEMMING SULLIVAN
- Title
- PARTNER
- Phone
- (802) 485-4161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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