Northwestern Medical Center, Inc.

NPI #1932575792 in Saint Albans, Vermont

Provider Information

NPI Number: 1932575792
Entity Type: Organization
Organization Name: Northwestern Medical Center, Inc.
Primary Specialty: Dermatology
Enumeration Date: Aug 17, 2015
Last Updated: Oct 23, 2018

Practice Location

Address: 128 FISHER POND RD
Address 2: 2ND FLOOR
City: Saint Albans
State: Vermont
ZIP Code: 05478-6058
Phone: (802) 524-9707

Authorized Official

Name: MARY E PIGEON
Title: CREDENTIALING SPECIALIST
Phone: (802) 524-8954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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