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Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (CRED. SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
1 CREST RD, SUITE C, SAINT ALBANS, VT 05478-9753
(802) 524-0719
(802) 524-8421
Mailing address
1 CREST RD, SUITE C, SAINT ALBANS, VT 05478-9753
(802) 524-0719
(802) 524-8421
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
818
VT
Other
Enumeration date
06/11/2014
Last updated
04/18/2016
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