Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Comprehensive Pain, Northwestern Partners in Hope and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
17 CATHERINE ST, SAINT ALBANS, VT 05478-2205
(802) 524-8809
(802) 524-1289
Mailing address
17 CATHERINE ST, SAINT ALBANS, VT 05478-2205
(802) 524-8809
(802) 524-1250
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020281
—
VT
Enumeration date
04/10/2012
Last updated
07/10/2019
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