# GREEN MOUNTAIN INTERNAL MEDICINE PLC

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

## Provider details

- **NPI number:** 1558885988
- **Authorized official:** MS. DEBORAH CAISE (OFFICE MANAGER)
- **Authorized official phone:** (802) 864-7080

## Contact information

- **Practice address:** 28 S WILLIAMS ST, BURLINGTON, VT 05401-3486
- **Practice address phone:** (802) 864-7080
- **Mailing address:** 28 S WILLIAMS ST, BURLINGTON, VT 05401-3486
- **Mailing address phone:** (802) 864-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042-0010014 | VT | Yes |

## Other

- **Enumeration date:** 07/27/2017
- **Last updated:** 07/21/2022