Organization
ASSOCIATES IN SURGERY AND GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JYL BRADLEY MS, FACMPE (ADMINISTRATOR)
(603) 543-3501
Entity
Organization
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(603) 543-3501
(603) 542-6486
Mailing address
7 DUNNING ST, CLAREMONT, NH 03743-2005
(603) 543-3501
(603) 542-6486
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
NH7849
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003879
—
VT
Enumeration date
12/07/2007
Last updated
03/04/2008
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