Northwestern Medical Center, Inc.

NPI #1417287665 in Fairfax, Vermont

Provider Information

NPI Number
1417287665
Entity Type
Organization
Organization Name
Northwestern Medical Center, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Jan 12, 2010
Last Updated
Oct 26, 2018

Practice Location

Address
4178 HIGHBRIDGE RD
State
Vermont
ZIP Code
05454-5446
Phone
(802) 752-1930

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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