Pediatric Medicine, Plc

NPI #1487701140 in South Burlington, Vermont

Provider Information

NPI Number: 1487701140
Entity Type: Organization
Organization Name: Pediatric Medicine, Plc
Primary Specialty: Pediatrics
Enumeration Date: Jan 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 52 TIMBER LN
City: South Burlington
State: Vermont
ZIP Code: 05403-7204
Phone: (802) 864-5004

Authorized Official

Name: MS. LISA RENEE BUSHEE
Title: BUSINESS MANAGER
Phone: (802) 864-5004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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