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Organization
NORTHWESTERN MEDICAL CENTER, INC
Active
Organization
NORTHWESTERN MEDICAL CENTER, INC
Active
Other names
Northwestern Family Birth Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J BOUCHER (DIRECTOR)
(802) 524-1276
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1040
(802) 524-1032
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
03/08/2022
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