Organization
BROOKSIDE FAMILY HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER JOSEPH GIROUX M.D. (OWNER)
(802) 482-3900
Entity
Organization
Contact information
Practice address
206 COMMERCE ST, HINESBURG, VT 05461-0416
(802) 482-3900
(802) 482-4159
Mailing address
PO BOX 416, 206 COMMERCE ST, HINESBURG, VT 05461-0416
(802) 482-3900
(802) 482-4159
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
42-0008119
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9210
—
VT
Enumeration date
09/05/2014
Last updated
09/05/2014
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