Organization
MANCHESTER MEDICAL CENTER PRIMARY CARE
Active
Parent organization
MANCHESTER MEDICAL CENTER PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANCHESTER MEDICAL CENTER PLLC
Authorized official
KIMBERLY COTTRELL (CODER)
(802) 755-7144
Entity
Organization
Contact information
Practice address
34 BONNET ST, MANCHESTER CENTER, VT 05255-8920
(802) 755-7144
Mailing address
34 BONNET ST, MANCHESTER CENTER, VT 05255-8920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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