# PEDIATRIC CARE PARTNERS - VERMONT

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

## Provider details

- **NPI number:** 1316454382
- **Authorized official:** JON ASSELIN (COO)
- **Authorized official phone:** (802) 872-4326

## Contact information

- **Practice address:** 66 KNIGHT LN STE 10, WILLISTON, VT 05495-9308
- **Practice address phone:** (802) 872-4343
- **Practice address fax:** (802) 872-0907
- **Mailing address:** 66 KNIGHT LN STE 10, WILLISTON, VT 05495-9308
- **Mailing address phone:** (802) 872-4343
- **Mailing address fax:** (802) 872-0907

## Taxonomy

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

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 12/29/2017