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Organization

SOUTHWESTERN VERMONT MEDICAL CENTER, INC.

Active
Parent organization
SOUTHWESTERN VERMONT MEDICAL CENTER, INC.
Other names
SVMC Plastic Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHWESTERN VERMONT MEDICAL CENTER, INC.
Authorized official
MARK NOVOTNY M.D. (CHIEF MEDICAL OFFICER)
(802) 447-5014
Entity
Organization

Contact information

Practice address
140 HOSPITAL DR, SUITE 204, BENNINGTON, VT 05201-5009
(802) 447-0607
Mailing address
140 HOSPITAL DR, SUITE 100, BENNINGTON, VT 05201-5009

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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