Organization
SOUTHWESTERN VERMONT MEDICAL CENTER INC
Active
Parent organization
SOUTHWESTERN VERMONT MEDICAL CENTER INC
Other names
SVMC Gastroenterology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWESTERN VERMONT MEDICAL CENTER INC
Authorized official
MARK NOVOTNY M.D. (CEO)
(802) 447-5014
Entity
Organization
Contact information
Practice address
140 HOSPITAL DR, SUITE 103, BENNINGTON, VT 05201-5009
(802) 447-1536
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0420006620
VT
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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