Organization
SARAYU BALU
Active
Other names
Ryder Brook Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAYU BALU (MEDICAL DIRECTOR)
(802) 888-2448
Entity
Organization
Contact information
Practice address
1126 LAPORTE RD, MORRISVILLE, VT 05661-0608
(802) 888-2448
Mailing address
PO BOX 608, MORRISVILLE, VT 05661-0608
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
042-0006455
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473827
—
VT
Enumeration date
04/10/2007
Last updated
06/26/2008
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