Fairfax Associates In Medicine Pllc | |
1199 Main St Fairfax VT 05454-9530 | |
(802) 849-2844 | |
(802) 849-2644 |
Full Name | Fairfax Associates In Medicine Pllc |
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Speciality | Internal Medicine |
Location | 1199 Main St, Fairfax, Vermont |
Authorized Official Name and Position | Audrey Elizabeth Von Lepel (OWNER) |
Authorized Official Contact | 8028492844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairfax Associates In Medicine Pllc 1199 Main St Fairfax VT 05454-9530 Ph: (802) 849-2844 | Fairfax Associates In Medicine Pllc 1199 Main St Fairfax VT 05454-9530 Ph: (802) 849-2844 |
NPI Number | 1952780314 |
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Provider Enumeration Date | 05/19/2015 |
Last Update Date | 05/19/2015 |
Identifier | Type | State | Issuer |
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1952780314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 0420007724 (Vermont) | Primary |