Bennington Family Practice Pllc

NPI #1700835741 in Bennington, Vermont

Provider Information

NPI Number
1700835741
Entity Type
Organization
Organization Name
Bennington Family Practice Pllc
Primary Specialty
Family Medicine
Enumeration Date
May 8, 2006
Last Updated
Sep 29, 2015

Practice Location

Address
339 DEWEY ST
State
Vermont
ZIP Code
05201-2253
Phone
(802) 447-1191

Authorized Official

Name
MRS. ELIZABETH J ELLINGSEN, MHA
Title
PRACTICE MANAGER
Phone
(802) 447-1191

Specialties & Taxonomy Codes

Specialty
Family Medicine

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