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Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
12 1ST ST, SWANTON, VT 05488-1206
(802) 527-8189
(802) 868-3457
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8911
(802) 524-1057
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/24/2015
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