Organization
PEDIATRIC MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA RENEE BUSHEE (BUSINESS MANAGER)
(802) 864-5004
Entity
Organization
Contact information
Practice address
52 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-5004
(802) 863-6933
Mailing address
52 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-5004
(802) 863-6933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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