| Northwestern Neurology | |
|
133 Fairfield St Saint Albans VT 05478-1726 | |
| (802) 752-1352 | |
| (802) 752-1359 |
| Full Name | Northwestern Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 133 Fairfield St, Saint Albans, Vermont |
| Authorized Official Name and Position | Mary E Pigeon (PAYOR CREDENTIALING & CONTRACT SPEC) |
| Authorized Official Contact | 8025248954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Neurology 133 Fairfield St Saint Albans VT 05478-1726 Ph: (802) 524-5911 | Northwestern Neurology 133 Fairfield St Saint Albans VT 05478-1726 Ph: (802) 752-1352 |
| NPI Number | 1174004261 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174004261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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