Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
10 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-1000
(802) 524-1008
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8954
(802) 524-1250
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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