Organization
ASSOCIATES IN INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD A WEAVER M.D. (PHYSICIAN)
(802) 775-5531
Entity
Organization
Contact information
Practice address
254 STRATTON RD, SUITE 2, RUTLAND, VT 05701-4675
(802) 775-5531
(802) 773-4697
Mailing address
254 STRATTON RD, SUITE 2, RUTLAND, VT 05701-4675
(802) 775-5531
(802) 773-4697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0004441
VT
207RG0100X
Gastroenterology Physician
Primary
042-0004441
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004373
—
VT
01
—
4373
BCBS
VT
Enumeration date
07/25/2006
Last updated
10/28/2009
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