DR. Jack Lawrence Mayer, M.D., FAAP

NPI #1639136559 in Middlebury, Vermont

Provider Information

NPI Number
1639136559
Entity Type
Individual
Name
DR. Jack Lawrence Mayer, M.D., FAAP
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Pediatrics - Adolescent Medicine
Credential
M.D., FAAP
Enumeration Date
Apr 26, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
44 COLLINS DR
Address 2
SUITE 202
State
Vermont
ZIP Code
05753-8528
Phone
(802) 388-1338

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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Organizations

Provider Name
Porter Hospital INC

Part of Porter Hospital INC

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