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Organization

EYE ASSOCIATES OF NORTHERN NEW ENGLAND, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J PHIPPS MD (PARTNER)
(802) 748-8126
Entity
Organization

Contact information

Practice address
1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819-9239
(802) 748-8126
(802) 748-2208
Mailing address
1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819-9239
(802) 748-8126
(802) 748-2208

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010527
VT
05
30212883
NH
Enumeration date
02/28/2006
Last updated
04/23/2013
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