Organization
WINDHAM RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD F ELLIOTT MD (PRESDENT)
(802) 251-8489
Entity
Organization
Contact information
Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 251-8489
Mailing address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 251-8489
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004559
—
VT
Enumeration date
02/07/2007
Last updated
08/22/2020
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