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Organization
RIVERSIDE INTERNAL MEDICINE PLC
Active
Organization
RIVERSIDE INTERNAL MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA J KENDRICK MD (MD OWNER)
(802) 674-6744
Entity
Organization
Contact information
Practice address
14 ASCUTNEY PLACE, UNIT B2, ASCUTNEY, VT 05030
(802) 674-6744
(802) 674-6744
Mailing address
PO BOX 416, ASCUTNEY, VT 05030
(802) 674-6744
(802) 674-6744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
12/31/2012
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