Organization
PORTER HOSPITAL DBA CEDAR LEDGE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNCAN S BRINES CFO (CFO)
(802) 388-4701
Entity
Organization
Contact information
Practice address
99 COURT ST, CEDAR LODGE FAMILY PRACTICE, MIDDLEBURY, VT 05753-1408
(802) 388-7185
(802) 388-3445
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1355
—
VT
Enumeration date
07/20/2006
Last updated
08/22/2020
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