# BRISTOL INTERNAL MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235182247
- **Authorized official:** KEVIN J MULHOLLAND MD (PRESIDENT, MED DIRECTOR)
- **Authorized official phone:** (802) 453-7422

## Contact information

- **Practice address:** 6 PARK PL, BRISTOL, VT 05443-1229
- **Practice address phone:** (802) 453-7422
- **Mailing address:** PO BOX 415, BRISTOL, VT 05443-0415
- **Mailing address phone:** (802) 453-7422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020