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655 Main St Bennington VT 05201-2870 | |
(802) 447-0000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 655 Main St, Bennington, Vermont |
Authorized Official Name and Position | Barbara Lillian Rosenthal (PRESIDENT) |
Authorized Official Contact | 4134581900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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132 Candlewood Dr Williamstown MA 01267-2972 Ph: (413) 458-1900 | 655 Main St Bennington VT 05201-2870 Ph: (802) 447-0000 |
NPI Number | 1063651214 |
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Provider Enumeration Date | 02/11/2009 |
Last Update Date | 02/11/2009 |
Identifier | Type | State | Issuer |
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1063651214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0420008620 (Vermont) | Primary |
Integrative Medical Associates Of Vermont, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Main St, Bennington, VT 05201 Phone: 802-445-3152 | |