Northwestern Medical Center, Inc.

NPI #1376140889 in Saint Albans, Vermont

Provider Information

NPI Number
1376140889
Entity Type
Organization
Organization Name
Northwestern Medical Center, Inc.
Primary Specialty
Pediatrics
Enumeration Date
Oct 7, 2020
Last Updated
Oct 12, 2020

Practice Location

Address
133 FAIRFIELD ST STE 103A
State
Vermont
ZIP Code
05478-1726
Phone
(802) 527-8189

Authorized Official

Name
MARY E PIGEON
Title
CREDENTIALING SPECIALIST
Phone
(802) 524-8954

Specialties & Taxonomy Codes

Specialty
Pediatrics

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