# PRIMARY CARE HEALTH PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** timber lane pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295792745
- **Authorized official:** JON W ASSELIN (COO)
- **Authorized official phone:** (802) 872-4326

## Contact information

- **Practice address:** 51 TIMBER LN, S BURLINGTON, VT 05403-5201
- **Practice address phone:** (802) 864-0521
- **Practice address fax:** (802) 864-6475
- **Mailing address:** 66 KNIGHT LN STE 10, WILLISTON, VT 05495-9308
- **Mailing address phone:** (802) 872-4343
- **Mailing address fax:** (802) 288-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 11/29/2022