# PORTER HOSPITAL DBA ADDISON FAMILY HEALTH

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

## Provider details

- **NPI number:** 1558381889
- **Authorized official:** DUNCAN S BRINES (CFO)
- **Authorized official phone:** (802) 388-4701

## Contact information

- **Practice address:** 28 CATAMOUNT DRIVE, ADDISON FAMILY HEALTH, MIDDLEBURY, VT 05753
- **Practice address phone:** (802) 388-7185
- **Practice address fax:** (802) 388-3445
- **Mailing address:** 104 PORTER DRIVE, MIDDLEBURY, VT 05753
- **Mailing address phone:** (802) 388-6777
- **Mailing address fax:** (802) 388-8864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 12/03/2009
