Border Pediatrics
NPI #1750483780 in Derby Line, Vermont
Provider Information
- NPI Number
- 1750483780
- Entity Type
- Organization
- Organization Name
- Border Pediatrics
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jan 4, 2013
Practice Location
- Address
- 159 MAIN ST
- City
- Derby Line
- State
- Vermont
- ZIP Code
- 05830-8754
- Phone
- (802) 873-3009
Authorized Official
- Name
- DR. MIRIAM BLODGETT TATUM, M.D.
- Title
- PRESIDENT
- Phone
- (802) 873-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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