Equinox Family Medicine, Pc | |
3869 Main St. Manchester VT 05254 | |
(802) 362-1121 | |
(802) 362-9121 |
Full Name | Equinox Family Medicine, Pc |
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Speciality | Nurse Practitioner - Primary Care |
Location | 3869 Main St., Manchester, Vermont |
Authorized Official Name and Position | Mara V Liebling (OWNER) |
Authorized Official Contact | 8023621121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Equinox Family Medicine, Pc Po Box 50 3869 Main St. Manchester VT 05254-0050 Ph: (802) 362-1121 | Equinox Family Medicine, Pc 3869 Main St. Manchester VT 05254 Ph: (802) 362-1121 |
NPI Number | 1447378575 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1447378575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |