Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST STE 103A, SAINT ALBANS, VT 05478-1726
(802) 527-8189
(802) 527-8187
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 527-8189
(802) 527-8187
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/12/2020
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