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Organization

ALDER BROOK FAMILY HEALTH P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANE C. RIPPA M.D. (OWNER)
(802) 872-7100
Entity
Organization

Contact information

Practice address
8 ESSEX WAY, SUITE 201, ESSEX JUNCTION, VT 05452-3425
(802) 872-7100
Mailing address
8 ESSEX WAY, SUITE 201, ESSEX JUNCTION, VT 05452-3425
(802) 872-7100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420007492
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008436
VT
01
CJ8009
RAIL ROAD MEDICARE
VT
Enumeration date
07/06/2006
Last updated
03/01/2016
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