Organization
CLEARCHOICEMD PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BERRY (CHIEF FINANCIAL OFFICER)
(603) 526-4635
Entity
Organization
Contact information
Practice address
178 SWANTON RD, SAINT ALBANS, VT 05478-2615
(802) 528-5100
(802) 528-5793
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(603) 526-4635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0009245
VT
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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