Organization
PORTER HOSPITAL INC
Active
Parent organization
PORTER HOSPITAL INC
Other names
Porter Hospital Inc dba Bristol Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTER HOSPITAL INC
Authorized official
STEVE CIAMPA (CFO)
(802) 388-5752
Entity
Organization
Contact information
Practice address
6 PARK PL, BRISTOL, VT 05443-1229
(802) 453-7422
(802) 453-3071
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-5682
(802) 388-5692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014490
—
VT
Enumeration date
11/29/2007
Last updated
07/25/2013
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