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Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Associates In Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
1 CREST RD, SUITE B, SAINT ALBANS, VT 05478-9753
(802) 524-8974
(802) 524-8970
Mailing address
1 CREST RD, SUITE B, SAINT ALBANS, VT 05478-9753
(802) 524-8974
(802) 524-8970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018505
—
VT
Enumeration date
12/03/2010
Last updated
10/23/2018
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