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Organization

NORTHWESTERN MEDICAL CENTER, INC.

Active
Other names
Northwestern Endocrinology
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization

Contact information

Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8852
(802) 524-1087
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8852
(802) 524-1087

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
09/12/2019
Last updated
09/12/2019
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