Organization
CENTER FOR INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J. BUCKSBAUM M.D. (OWNER)
(802) 747-7730
Entity
Organization
Contact information
Practice address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701-4564
(802) 747-7730
(802) 773-1609
Mailing address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701-4564
(802) 747-7730
(802) 773-1609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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