Organization
AFFILIATES IN OBSTETRICAL & GYNECOLOGICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CLIFFORD M.D. (PRESIDENT)
(802) 658-0505
Entity
Organization
Contact information
Practice address
96 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 658-0505
Mailing address
96 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 658-0505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004930
—
VT
01
—
CM9478
RAIL ROAD MEDICARE
VT
Enumeration date
05/02/2006
Last updated
02/04/2013
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