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Organization
BENNINGTON ASSOCIATES IN INTERNAL MEDICINE
Active
Organization
BENNINGTON ASSOCIATES IN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSEY WALTON (OFFICE MANAGER)
(802) 442-8164
Entity
Organization
Contact information
Practice address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164
(802) 442-4214
Mailing address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164
(802) 442-4214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004703
VERMONT BCBS
VT
05
—
0004703
—
VT
Enumeration date
11/14/2006
Last updated
09/11/2025
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