Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (PAYOR CREDENTIALING & CONTRACT SPEC)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 752-1352
(802) 752-1359
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 527-1057
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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