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Organization
GREEN MOUNTAIN PEDIATRICS PC
Active
Organization
GREEN MOUNTAIN PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY K ORTON MD PA (PRESIDENT DIRECTOR)
(802) 442-6057
Entity
Organization
Contact information
Practice address
901 MAIN STREET, SUITE 1, BENNINGTON, VT 05201
(802) 442-6057
(802) 447-1348
Mailing address
901 MAIN STREET, SUITE 1, BENNINGTON, VT 05201
(802) 442-6057
(802) 447-1348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0427959
CIGNA
—
01
—
10017477
CDPHP
—
05
—
1006759
—
VT
01
—
26188
MVP
—
01
—
33748798
BCBS
VT
Enumeration date
09/12/2006
Last updated
08/22/2020
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