Organization
PORTER HOSPITAL DBA ADDISON FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNCAN S BRINES (CFO)
(802) 388-4701
Entity
Organization
Contact information
Practice address
28 CATAMOUNT DRIVE, ADDISON FAMILY HEALTH, MIDDLEBURY, VT 05753
(802) 388-7185
(802) 388-3445
Mailing address
104 PORTER DRIVE, MIDDLEBURY, VT 05753
(802) 388-6777
(802) 388-8864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1147
—
VT
Enumeration date
07/20/2006
Last updated
12/03/2009
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