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Organization
HEARTH STONE INTERNAL MEDICINE, LLC
Active
Organization
HEARTH STONE INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA J VAN DYCK MD (PHYSICIAN OWNER)
(603) 667-6272
Entity
Organization
Contact information
Practice address
152 GRAFTON RD, TOWNSHEND, VT 05353
(603) 667-6272
Mailing address
242 WANTASTIQUET DR, BRATTLEBORO, VT 05301-6041
(603) 667-6272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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