Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (CRED. SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
1 CREST RD, SUITE C, SAINT ALBANS, VT 05478-9753
(802) 524-0719
(802) 524-8421
Mailing address
1 CREST RD, SUITE C, SAINT ALBANS, VT 05478-9753
(802) 524-0719
(802) 524-8421
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
818
VT
Other
Enumeration date
06/11/2014
Last updated
04/18/2016
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