Organization
DR. SIMON DREW MD PC
Active
Other names
Simon P. Drew, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON PAUL DREW MD (DIRECTOR)
(802) 442-3800
Entity
Organization
Contact information
Practice address
140 HOSPITAL DR, SUITE 203, BENNINGTON, VT 05201-5009
(802) 442-3800
(802) 442-3855
Mailing address
140 HOSPITAL DR, SUITE 203, BENNINGTON, VT 05201-5009
(802) 442-3800
(802) 442-3855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0420010815
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010955
—
VT
Enumeration date
10/26/2006
Last updated
08/22/2020
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