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Organization

GOODHEALTH P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK PITCHER M.D. (TREASURER)
(802) 860-1441
Entity
Organization

Contact information

Practice address
368 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403-6212
(802) 860-1441
Mailing address
368 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403-6212
(802) 860-1441

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
291U00000X
Clinical Medical Laboratory
47D1068228
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN2426
VT
01
CB4933
RAIL ROAD MEDICARE
VT
Enumeration date
05/05/2006
Last updated
02/05/2015
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