Organization
GEORGIA HEALTH CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L. SAFERSTEIN M.D. (PRESIDENT/OWNER)
(802) 524-9595
Entity
Organization
Contact information
Practice address
4178 HIGHBRIDGE RD, GEORGIA, VT 05454-5446
(802) 524-9595
Mailing address
4178 HIGHBRIDGE RD, FAIRFAX, VT 05454-5446
(802) 524-9595
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008067
—
VT
01
—
CJ2544
RAIL ROAD MEDICARE
VT
Enumeration date
05/08/2006
Last updated
05/06/2008
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