Department of Veterans Affairs

NPI #1760777189 in White River Junction, Vermont

Provider Information

NPI Number: 1760777189
Entity Type: Organization
Organization Name: Department of Veterans Affairs
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 215 N MAIN ST
City: White River Junction
State: Vermont
ZIP Code: 05009-0001
Phone: (802) 295-9363

Authorized Official

Name: DANIEL MORIARTY
Title: SOCIAL WORK EXECUTIVE
Phone: (802) 295-9363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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