Organization
ESSEX PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE ROGERS-LOW (OFFICE MANAGER)
(802) 879-6556
Entity
Organization
Contact information
Practice address
89 MAIN ST, ESSEX JCT, VT 05452-3207
(802) 879-6556
(802) 872-8021
Mailing address
89 MAIN ST, ESSEX JCT, VT 05452-3207
(802) 879-6556
(802) 872-8021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
120475
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1603
—
VT
Enumeration date
09/21/2006
Last updated
05/09/2023
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